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 716693 Hydrocortisone COVOCORT 10MG TAB Accepted treatment 726540 Fludrocortisone FLORINEF ACETATE 0.1MG TAB Accepted treatment Asthma Inhaled B2 agonists 700715 Salbutamol ASTHAVENT 300D ECOHALER CFC FREE INH Accepted treatment 878219 Salbutamol ASTHAVENT DP CPS Accepted treatment 849332 Salbutamol ASTHAVENT ECOHALER 200DOSE INH Accepted treatment 711213 Salbutamol VENTEZE CFC FREE 200 DOSE INH Accepted treatment Long acting B2 agonists 704175 Formoterol FORATEC DP CAPS CPS Clinical review 710307 Formoterol FORATEC HFA 120DOSE INH Clinical review Inhaled corticosteroids 827088 Beclomethasone BECEZE INHALER COMPLETE 100MCG INH Accepted treatment 819638 Beclomethasone BECLATE INHALER 100MCG INH Accepted treatment 820083 Beclomethasone BECLATE 200 200MCG INH Accepted treatment 827061 Beclomethasone BECEZE 50 200DOSE 50MCG INH Accepted treatment 819611 Beclomethasone BECLATE INHALER 50MCG INH Accepted treatment 897462 Budesonide BUDEFLAM CFC FREE 300 DOSE INH 100MCG INH Accepted treatment 791423 Budesonide PULMICORT 100 TURB (200 DOSE) 100MCG ATH Accepted treatment 897469 Budesonide BUDEFLAM CFC FREE 200MCG 300 DOSE INH 200MCG INH Accepted treatment 791431 Budesonide PULMICORT 200 TURB (200 DOSE) 200MCG ATH Accepted treatment 707879 Budesonide INFLAMMIDE NOVOLIZER COMPLETE 100DOSE 400MCG INH Accepted treatment 707881 Budesonide INFLAMMIDE NOVOLIZER REFILL 100DOSE 400MCG REF Accepted treatment 704176 Budesonide BUDEFLAM DP CAPS CAP Accepted treatment 704021 Budesonide INFLAMMIDE 200 NOVOLIZER COMPL INH Accepted treatment 704020 Budesonide INFLAMMIDE 200 NOVOLIZER REFIL INH Accepted treatment Oral xanthines 788368 Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 200MG SRT Clinical review 788376 Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 300 300MG SRT Clinical review 770388 Theophylline THEOPHEN SYR Clinical review Oral corticosteroids 800155 Prednisolone LENISOLONE 5MG TAB Specialist script 814407 Prednisolone CAPSOID 5MG TAB Specialist script 752304 Prednisone PANAFCORT 5MG TAB Specialist script 788783 Prednisone BE-TABS PREDNISONE 5MG TAB Specialist script Devices 577802 DP HALER DEVICE UNI Accepted treatment Bipolar Mood Disorder Mood stabilisers 705597 Carbamazepine SANDOZ CARBAMAZEPINE CR200 200MG SRT Accepted treatment 779652 Carbamazepine TEGRETOL CR 200MG SRT Accepted treatment 705602 Carbamazepine SANDOZ CARBAMAZIPINE CR400 400MG SRT Accepted treatment 779660 Carbamazepine TEGRETOL CR 400MG SRT Accepted treatment 769401 Carbamazepine TEGRETOL S 100MG/5ML SUS Accepted treatment 712493 Carbamazepine DEGRANOL 200MG TAB Accepted treatment 712523 Carbamazepine SANDOZ CARBAMAZEPINE 200MG TAB Accepted treatment 715962 Carbamazepine ZEPTOL 200MG TAB Accepted treatment 710389 Lamotrigine DYNA-LAMOTRIGINE 100MG TAB Accepted treatment 710887 Lamotrigine LAMIDUS 100MG TAB Accepted treatment 704488 Lamotrigine LAMITOR 100MG TAB Accepted treatment 705248 Lamotrigine SANDOZ LAMOTRIGINE 100 100MG TAB Accepted treatment 710390 Lamotrigine DYNA-LAMOTRIGINE 200MG TAB Accepted treatment 710888 Lamotrigine LAMIDUS 200MG TAB Accepted treatment 705249 Lamotrigine SANDOZ LAMOTRIGINE 200MG TAB Accepted treatment 710387 Lamotrigine DYNA-LAMOTRIGINE 25MG TAB Accepted treatment 704379 Lamotrigine EPITEC 25MG 25MG TAB Accepted treatment 704486 Lamotrigine LAMITOR 25MG TAB Accepted treatment 705251 Lamotrigine SANDOZ LAMOTRIGINE 25 25MG TAB Accepted treatment 710388 Lamotrigine DYNA-LAMOTRIGINE 50MG TAB Accepted treatment 710885 Lamotrigine LAMIDUS 50MG TAB Accepted treatment 704487 Lamotrigine LAMITOR 50MG TAB Accepted treatment 705250 Lamotrigine SANDOZ LAMOTRIGINE 50 50MG TAB Accepted treatment 712078 Lithium CAMCOLIT 250MG TAB Accepted treatment 712086 Lithium CAMCOLIT 400MG TAB Accepted treatment 758833 Lithium QUILONUM RETARD 450MG TAB Accepted treatment 715980 Valproic acid CONVULEX 150MG CAP Accepted treatment 715999 Valproic acid CONVULEX 300MG CAP Accepted treatment 781568 Valproic acid CONVULEX 500MG CAP Accepted treatment 718274 Valproic acid EPILIZINE CR 200MG SRT Accepted treatment 718465 Valproic acid NAVALPRO CR 200MG SRT Accepted treatment 718275 Valproic acid EPILIZINE CR 300MG SRT Accepted treatment 718466 Valproic acid NAVALPRO CR 300MG SRT Accepted treatment 720026 Valproic acid VANAPRO 300MG SRT Accepted treatment 718276 Valproic acid EPILIZINE CR 500MG SRT Accepted treatment 718468 Valproic acid NAVALPRO CR 500MG SRT Accepted treatment 720027 Valproic acid VANAPRO 500MG SRT Accepted treatment 780545 Valproic acid EPILIM SUGAR FREE 200MG SYR Accepted treatment 781541 Valproic acid CONVULEX 50MG/ML SYR Accepted treatment 821578 Valproic acid EPILIM CRUSHABLE 100 MG TAB Accepted treatment Antipsychotic agents 735884 Chlorpromazine LARGACTIL 100MG TAB Accepted treatment 735868 Chlorpromazine LARGACTIL 25MG TAB Accepted treatment 717082 Clozapine ASPEN CLOZAPINE 100MG TAB Accepted treatment 700178 Clozapine CLOMENT 100MG TAB Accepted treatment (clinical motivation required for low cost option) 717081 Clozapine ASPEN CLOZAPINE 25MG TAB Accepted treatment 700176 Clozapine CLOMENT 25MG TAB Accepted treatment (clinical motivation required for low cost option) 726672 Flupentixol FLUANXOL DEPOT 1ML 20MG INJ Accepted treatment 744328 Fluphenazine MODECATE PLUS SYRINGE 1ML 25MG/ML INJ Accepted treatment 763411 Haloperidol SERENACE 0.5MG CAP Accepted treatment 730335 Haloperidol SANDOZ HALOPERIDOL 1.5 1.5MG TAB Accepted treatment 719549 Haloperidol GULF HALOPERIDOL 5MG TAB Accepted treatment 730327 Haloperidol SANDOZ HALOPERIDOL 5 5MG TAB Accepted treatment 716051 Quetiapine DOPAQUEL 100MG TAB Accepted treatment (clinical motivation required for low cost option) 716052 Quetiapine DOPAQUEL 200MG TAB Accepted treatment (clinical motivation required for low cost option) 716050 Quetiapine DOPAQUEL 25MG TAB Accepted treatment (clinical motivation required for low cost option) 716053 Quetiapine DOPAQUEL 300MG TAB Accepted treatment (clinical motivation required for low cost option) 716670 Quetiapine MYLAN QUETIAPINE 100MG TAB Accepted treatment (clinical motivation required for low cost option) 716671 Quetiapine MYLAN QUETIAPINE 200MG TAB Accepted treatment (clinical motivation required for low cost option) 716668 Quetiapine MYLAN QUETIAPINE 25MG TAB Accepted treatment (clinical motivation required for low cost option) 716672 Quetiapine MYLAN QUETIAPINE 300MG TAB Accepted treatment (clinical motivation required for low cost option) 718353 Quetiapine PSYQUET 100MG TAB Accepted treatment (clinical motivation required for low cost option) 718354 Quetiapine PSYQUET 200MG TAB Accepted treatment (clinical motivation required for low cost option) 718352 Quetiapine PSYQUET 25MG TAB Accepted treatment (clinical motivation required for low cost option) 718355 Quetiapine PSYQUET 300MG TAB Accepted treatment (clinical motivation required for low cost option) 716636 Quetiapine QUETOSER 100MG TAB Accepted treatment (clinical motivation required for low cost option) 716637 Quetiapine QUETOSER 200MG TAB Accepted treatment (clinical motivation required for low cost option) 716635 Quetiapine QUETOSER 25MG TAB Accepted treatment (clinical motivation required for low cost option) 716638 Quetiapine QUETOSER 300MG TAB Accepted treatment (clinical motivation required for low cost option) 718704 Quetiapine SIZONORM 100MG TAB Accepted treatment (clinical motivation required for low cost option) 718705 Quetiapine SIZONORM 200MG TAB Accepted treatment (clinical motivation required for low cost option) 718674 Quetiapine SIZONORM 25MG TAB Accepted treatment (clinical motivation required for low cost option)
718706 Quetiapine SIZONORM 300MG TAB Accepted treatment (clinical motivation required for low cost option) 823163 Risperidone RISPERDAL ORAL 1mg/ml SYR Accepted treatment (clinical motivation required for low cost option) 714686 Risperidone AUROPIDONE 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 720334 Risperidone PERIDA 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 717996 Risperidone RISNIA 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 714101 Risperidone RISPACOR 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 715736 Risperidone SCHIZOROL 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 711511 Risperidone ZOXADON 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) 720335 Risperidone PERIDA 1MG TAB Accepted treatment (clinical motivation required for low cost option) 712618 Risperidone PERIZAL 1MG TAB Accepted treatment (clinical motivation required for low cost option) 717997 Risperidone RISNIA 1MG TAB Accepted treatment (clinical motivation required for low cost option) 713967 Risperidone RISPACOR 1MG TAB Accepted treatment (clinical motivation required for low cost option) 718226 Risperidone RISPEVON 1MG TAB Accepted treatment (clinical motivation required for low cost option) 715737 Risperidone SCHIZOROL 1MG TAB Accepted treatment (clinical motivation required for low cost option) 711512 Risperidone ZOXADON 1MG TAB Accepted treatment (clinical motivation required for low cost option) 714688 Risperidone AUROPIDONE 2MG TAB Accepted treatment (clinical motivation required for low cost option) 712619 Risperidone PERIZAL 2MG TAB Accepted treatment (clinical motivation required for low cost option) 717998 Risperidone RISNIA 2MG TAB Accepted treatment (clinical motivation required for low cost option) 713966 Risperidone RISPACOR 2MG TAB Accepted treatment (clinical motivation required for low cost option) 718227 Risperidone RISPEVON 2MG TAB Accepted treatment (clinical motivation required for low cost option) 715738 Risperidone SCHIZOROL 2MG TAB Accepted treatment (clinical motivation required for low cost option) 711513 Risperidone ZOXADON 2MG TAB Accepted treatment (clinical motivation required for low cost option) 714689 Risperidone AUROPIDONE 3MG TAB Accepted treatment (clinical motivation required for low cost option) 712621 Risperidone PERIZAL 3MG TAB Accepted treatment (clinical motivation required for low cost option) 717999 Risperidone RISNIA 3MG TAB Accepted treatment (clinical motivation required for low cost option) 713965 Risperidone RISPACOR 3MG TAB Accepted treatment (clinical motivation required for low cost option) 718228 Risperidone RISPEVON 3MG TAB Accepted treatment (clinical motivation required for low cost option) 711475 Risperidone ASPEN RISPERIDONE 4MG TAB Accepted treatment (clinical motivation required for low cost option) 716504 Risperidone AUROPERDAL 4MG TAB Accepted treatment (clinical motivation required for low cost option) 714690 Risperidone AUROPIDONE 4MG TAB Accepted treatment (clinical motivation required for low cost option) 713964 Risperidone RISPACOR 4MG TAB Accepted treatment (clinical motivation required for low cost option) 711538 Risperidone RISPONZ 4MG TAB Accepted treatment (clinical motivation required for low cost option) 712211 Risperidone DRL RISPERIDONE 1MG TAB Accepted treatment (clinical motivation required for low cost option) 711537 Risperidone RISPONZ 1MG TAB Accepted treatment (clinical motivation required for low cost option) 711534 Risperidone RISPONZ 2MG TAB Accepted treatment (clinical motivation required for low cost option) 712209 Risperidone DRL RISPERIDONE 3MG TAB Accepted treatment (clinical motivation required for low cost option) 710793 Risperidone RISPERIDONE HEXAL 3MG TAB Accepted treatment (clinical motivation required for low cost option) 711536 Risperidone RISPONZ 3MG TAB Accepted treatment (clinical motivation required for low cost option) 705386 Sulpiride BIO-SULPIRIDE 200MG TAB Accepted treatment 766410 Trifluoperazine STELAZINE 1MG TAB Accepted treatment 766437 Trifluoperazine STELAZINE 5MG TAB Accepted treatment 714852 Zuclopenthixol CLOPIXOL DEPOT 200MG INJ Accepted treatment 786934 Zuclopenthixol CLOPIXOL ACUPHASE 50MG INJ Accepted treatment Antidepressants 718746 Amitriptyline GULF AMITRIPTYLINE 25MG TAB Accepted treatment 784230 Amitriptyline SANDOZ AMITRIPTYLINE HCL 25MG TAB Accepted treatment 772003 Amitriptyline TREPILINE 10MG TAB Accepted treatment 771996 Amitriptyline TREPILINE 25MG TAB Accepted treatment 713583 Citalopram ARROW CITALOPRAM 20MG TAB Accepted treatment 713584 Citalopram ARROW CITALOPRAM 40MG TAB Accepted treatment 713356 Citalopram AURO-CITALOPRAM 20MG TAB Accepted treatment 707396 Citalopram AUSTELL-CITALOPRAM 10MG TAB Accepted treatment 707398 Citalopram AUSTELL-CITALOPRAM 20MG TAB Accepted treatment 707397 Citalopram AUSTELL-CITALOPRAM 40MG TAB Accepted treatment 717094 Citalopram BIO CITALOPRAM 20MG TAB Accepted treatment 707888 Citalopram CILATE 20MG TAB Accepted treatment 711988 Citalopram CILORAM 20MG TAB Accepted treatment 704331 Citalopram CITALOHEXAL 20MG TAB Accepted treatment 716521 Citalopram CITALOPRAM ACTOR 20MG TAB Accepted treatment 709407 Citalopram CITALOPRAM-WINTHROP 20MG TAB Accepted treatment 705252 Citalopram DEPRAMIL 40MG TAB Accepted treatment 713757 Citalopram DRL CITALOPRAM 40MG TAB Accepted treatment 717372 Citalopram GLENMARK CITALOPRAM 20MG TAB Accepted treatment 702769 Citalopram TALOMIL 20MG TAB Accepted treatment 703391 Fluoxetine A-LENNON FLUOXETINE 20MG CAP Accepted treatment 894303 Fluoxetine DEPROZAN 20MG CAP Accepted treatment 716520 Fluoxetine FLUOXETINE ACTOR 20MG CAP Accepted treatment 719658 Fluoxetine PROLAX 20MG CAP Accepted treatment 700686 Fluoxetine RANFLOCS 20MG CAP Accepted treatment 707426 Fluoxetine REZAK 20MG CAP Accepted treatment 705064 Fluoxetine ZYDUS FLUOXETINE 20MG CAP Accepted treatment 724661 Imipramine ETHIPRAMINE 10MG TAB Accepted treatment 724688 Imipramine ETHIPRAMINE 25MG TAB Accepted treatment Bronchiectasis 785229 Amoxicillin ADCO-AMOXYCILLIN 250MG CAP Accepted treatment 704443 Amoxicillin ALLMOX 250MG CAP Accepted treatment 784656 Amoxicillin AMOCILLIN 250MG CAP Accepted treatment 704401 Amoxicillin AMOXICAP 250 250MG CAP Accepted treatment 714185 Amoxicillin AMYN 250MG CAP Accepted treatment 713363 Amoxicillin AURO-AMOXYCILLIN 250MG CAP Accepted treatment 707499 Amoxicillin AUSTELL-AMOXICILLIN 250MG CAP Accepted treatment 788155 Amoxicillin BETAMOX 250 250MG CAP Accepted treatment 815268 Amoxicillin IPCAMOX 250MG CAP Accepted treatment 806579 Amoxicillin MOXYMAX 250 250MG CAP Accepted treatment 744689 Amoxicillin MOXYPEN 250MG CAP Accepted treatment 808741 Amoxicillin PROMOXIL 250MG CAP Accepted treatment 716122 Amoxicillin YOMAX 250MG CAP Accepted treatment 811440 Amoxicillin ADCO-AMOXYCILLIN 500MG CAP Accepted treatment 704444 Amoxicillin ALLMOX 500MG CAP Accepted treatment 714184 Amoxicillin AMYN 500MG CAP Accepted treatment 713364 Amoxicillin AURO-AMOXYCILLIN 500MG CAP Accepted treatment 788546 Amoxicillin BETAMOX 500 500MG CAP Accepted treatment 744697 Amoxicillin MOXYPEN 500MG CAP Accepted treatment 808768 Amoxicillin PROMOXIL 500MG CAP Accepted treatment 824879 Amoxicillin RANMOXY 500 500MG CAP Accepted treatment 716123 Amoxicillin YOMAX 500MG CAP Accepted treatment 708398 Amoxicillin ZALOXY 250MG CAP Accepted treatment 705637 Amoxicillin AUSTELL-AMOXICILLIN 500MG CAP Accepted treatment 708397 Amoxicillin ZALOXY 500MG CAP Accepted treatment 806587 Amoxicillin MOXYMAX 500 500MG TAB Accepted treatment 893402 Doxycycline A-LENNON DOXYCYCLINE HCL 100MG CAP Accepted treatment 716944 Doxycycline CYCLIDOX 100MG CAP Accepted treatment 809667 Doxycycline DOXYCYL 100MG CAP Accepted treatment 714192 Doxycycline DOXYTET 100MG CAP Accepted treatment 808407 Doxycycline DOXYCYL 50MG CAP Accepted treatment 798401 Doxycycline DUMOXIN 50 50MG CAP Accepted treatment 838691 Doxycycline DOXITAB 100MG TAB Accepted treatment 716731 Sulfamethoxazole and trimethop COZOLE 480MG TAB Accepted treatment 735698 Sulfamethoxazole and trimethop LAGATRIM 480MG TAB Accepted treatment 867977 Sulfamethoxazole and trimethop NUCOTRIM 480MG TAB Accepted treatment 758248 Sulfamethoxazole and trimethop PURBAC ADULT 480MG TAB Accepted treatment 789836 Sulfamethoxazole and trimethop TRIMETHOX 480MG TAB Accepted treatment 715609 Sulfamethoxazole and trimethop TRIXAZOLE 480MG TAB Accepted treatment 758256 Sulfamethoxazole and trimethop PURBAC DS 960MG TAB Accepted treatment 782793 Sulfamethoxazole and trimethop SANDOZ CO-TRIMOXAZOLE 960 960MG TAB Accepted treatment 706948 Sulfamethoxazole and trimethop CASICOT 480MG TAB Accepted treatment 704095 Sulfamethoxazole and trimethop ILVITRIM 480MG TAB Accepted treatment 701754 Sulfamethoxazole and trimethop MICRO CO-TRIMOXAZOLE 480MG TAB Accepted treatment
Chronic obstructive Pulmonary disease Inhaled B2 agonists 878219 Salbutamol ASTHAVENT DP CPS Accepted treatment 849332 Salbutamol ASTHAVENT 300 DOSE INH Accepted treatment 700715 Salbutamol ASTHAVENT 300D ECOHALER CFC FREE INH Accepted treatment 711213 Salbutamol VENTEZE CFC FREE 200 DOSE INH Accepted treatment Inhaled corticosteroids 827088 Beclomethasone BECEZE INHALER COMPLETE 100MCG INH Special investigations (SI) 819638 Beclomethasone BECLATE INHALER 100MCG INH Special investigations (SI) 820083 Beclomethasone BECLATE 200 200MCG INH Special investigations (SI) 827061 Beclomethasone BECEZE 50 200DOSE 50MCG INH Special investigations (SI) 819611 Beclomethasone BECLATE INHALER 50MCG INH Special investigations (SI) 791423 Budesonide PULMICORT 100 TURB (200 DOSE) 100MCG ATH Special investigations (SI) 791431 Budesonide PULMICORT 200 TURB (200 DOSE) 200MCG ATH Special investigations (SI) 704176 Budesonide BUDEFLAM DP CAPS CAP Special investigations (SI) 897462 Budesonide BUDEFLAM CFC FREE 300 DOSE INH 100MCG INH Special investigations (SI) 897469 Budesonide BUDEFLAM CFC FREE 200MCG 300 DOSE INH 200MCG INH Special investigations (SI) 707879 Budesonide INFLAMMIDE NOVOLIZER COMPLETE 100DOSE 400MCG INH Special investigations (SI) 704021 Budesonide INFLAMMIDE 200 NOVOLIZER COMPL INH Special investigations (SI) 704020 Budesonide INFLAMMIDE 200 NOVOLIZER REFIL INH Special investigations (SI) 707881 Budesonide INFLAMMIDE NOVOLIZER REFILL 100DOSE 400MCG REF Special investigations (SI) Anticholinergic inhalers 715574 Ipratropium bromide IPVENT HFA 200 DOSE 40MCG/1DOSE INH Accepted treatment Oral xanthines 788368 Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 200MG SRT Accepted treatment 788376 Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 300 300MG SRT Accepted treatment Oral corticosteroids 814407 Prednisolone CAPSOID 5MG TAB Special investigations (SI) 800155 Prednisolone LENISOLONE 5MG TAB Special investigations (SI) 788783 Prednisone BE-TABS PREDNISONE 5MG TAB Special investigations (SI) 752304 Prednisone PANAFCORT 5MG TAB Special investigations (SI) Influenza vaccine 711345 Influenza inactivated whole virus FLUVAX PRE-FILLED SYRINGE 0.5ML VAC Accepted treatment 732826 Influenza inactivated whole virus INFLUVAC 0.5ML VAC Accepted treatment 813338 Influenza inactivated whole virus VAXIGRIP SINGLE DOSE VAC Accepted treatment Devices 577802 DP HALER DEVICE UNI Accepted treatment Cardiac failure/cardiomyopathy Anticoagulants 709906 Warfarin CIPLA WARFARIN 1MG 1MG TAB Accepted treatment 709905 Warfarin CIPLA WARFARIN 5MG 5MG TAB Accepted treatment 778362 Warfarin WARFARIN 5MG TAB Accepted treatment Diuretics 857769 Furosemide MERCK FUROSEMIDE 40 MG TAB Accepted treatment 821845 Furosemide BEURISES 40MG TAB Accepted treatment 716048 Furosemide DINO-RETIC 40MG TAB Accepted treatment 731668 Furosemide SANDOZ FUROSEMIDE 40 40MG TAB Accepted treatment 710437 Hydrochlorothiazide RIDAQ 12.5MG 12.5MG TAB Accepted treatment 890470 Hydrochlorothiazide HEXAZIDE 25MG TAB Accepted treatment 880949 Hydrochlorothiazide RIDAQ 25MG 25MG TAB Accepted treatment 774057 Hydrochlorothiazide and potassiuurirex-k TAB Accepted treatment 719984 Hydrochlorothiazide and potassiudezretic 5MG/50MG 50MG/5MG TAB Accepted treatment 780618 Hydrochlorothiazide and potassiuadco-retic TAB Accepted treatment 702803 Hydrochlorothiazide and potassiuamiloretic TAB Accepted treatment 808695 Hydrochlorothiazide and potassiubetaretic TAB Accepted treatment 706531 Hydrochlorothiazide and potassiuspec-co-amiloride 50MG/5MG TAB Accepted treatment 710313 Indapamide CIPLA-INDAPAMIDE 2.5MG TAB Accepted treatment 833045 Indapamide DAPTRIL 2.5MG TAB Accepted treatment 703329 Indapamide MERCK-INDAPAMIDE 2.5MG TAB Accepted treatment 701793 Spironolactone ALDACTONE 25MG TAB Accepted treatment 769665 Spironolactone SANDOZ SPIRONOLACTONE 25 25MG TAB Accepted treatment 765910 Spironolactone SPIRACTIN 25MG TAB Accepted treatment Potassium supplementation 755753 Potassium chloride PLENISH K 600MG TAB Accepted treatment 719270 Potassium chloride POTASSIUM CHLORIDE UNICORN 600MG TAB Accepted treatment 702947 Potassium chloride SANDOZ K-600 600MG TAB Accepted treatment 764396 Potassium chloride SLOW-K 600MG TAB Accepted treatment 718911 Potassium chloride ULTIPOT 600MG SRT Accepted treatment ACE inhibitors 837628 Captopril CAPTOHEXAL 12.5MG TAB Accepted treatment 836451 Captopril CAPTOMAX 25MG TAB Accepted treatment 852619 Captopril MERCK CAPTOPRIL 25MG TAB Accepted treatment 850896 Captopril SANDOZ-CAPTOPRIL 25MG 25MG TAB Accepted treatment 836478 Captopril CAPTOMAX 50MG TAB Accepted treatment 899429 Captopril MERCK-CAPTOPRIL 50MG TAB Accepted treatment 886843 Enalapril ADCO-ENALAPRIL 10MG 10MG TAB Accepted treatment 881481 Enalapril ALAPREN 10 10MG TAB Accepted treatment 894324 Enalapril CIPLATEC 10 10MG TAB Accepted treatment 891279 Enalapril ENAP 10MG 10MG TAB Accepted treatment 712763 Enalapril ENVAS 10MG TAB Accepted treatment 867853 Enalapril HR-ENALAPRIL 10 10MG TAB Accepted treatment 868914 Enalapril PHARMAPRESS 10MG TAB Accepted treatment 886851 Enalapril ADCO-ENALAPRIL 20MG 20MG TAB Accepted treatment 881503 Enalapril ALAPREN 20 20MG TAB Accepted treatment 701729 Enalapril CIPLATEC 20MG 20MG TAB Accepted treatment 891280 Enalapril ENAP 20MG 20MG TAB Accepted treatment 867861 Enalapril HR-ENALAPRIL 20 20MG TAB Accepted treatment 868922 Enalapril PHARMAPRESS 20MG TAB Accepted treatment 881473 Enalapril ALAPREN 5 5MG TAB Accepted treatment 894316 Enalapril CIPLATEC 5 5MG TAB Accepted treatment 891272 Enalapril ENAP 5MG 5MG TAB Accepted treatment 712762 Enalapril ENVAS 5MG TAB Accepted treatment 867845 Enalapril HR-ENALAPRIL 5 5MG TAB Accepted treatment 708109 Enalapril PHARMAPRESS 5MG TAB Accepted treatment 712598 Lisinopril AUSTELL-LISINOPRIL 10MG TAB Accepted treatment 701392 Lisinopril HEXAL LISINOPRIL 10MG TAB Accepted treatment 714678 Lisinopril LIZRO (WAS AURO-LISINOPRIL) 10MG TAB Accepted treatment 700692 Lisinopril SINOPREN 10 10MG TAB Accepted treatment 703645 Lisinopril ZEMAX 10MG TAB Accepted treatment 781703 Lisinopril ZESTRIL 10MG TAB Accepted treatment 862053 Lisinopril ZETOMAX (ZESTOMAX) 10MG TAB Accepted treatment 715938 Lisinopril APEX-LISINOPRIL 20MG TAB Accepted treatment 714679 Lisinopril LIZRO(WAS AURO-LISINOPRIL) 20MG TAB Accepted treatment 700694 Lisinopril SINOPREN 20 20MG TAB Accepted treatment 781711 Lisinopril ZESTRIL 20MG TAB Accepted treatment 862061 Lisinopril ZETOMAX (ZESTOMAX) 20MG TAB Accepted treatment 701387 Lisinopril HEXAL LISINOPRIL 5MG TAB Accepted treatment 714677 Lisinopril LIZRO (WAS AURO-LISINOPRIL) 5MG TAB Accepted treatment 716792 Lisinopril LYSIN 5MG TAB Accepted treatment 700691 Lisinopril SINOPREN 5 5MG TAB Accepted treatment 703646 Lisinopril ZEMAX 5MG TAB Accepted treatment 781681 Lisinopril ZESTRIL 5MG TAB Accepted treatment 862045 Lisinopril ZETOMAX (ZESTOMAX) 5MG TAB Accepted treatment 708189 Lisinopril AUSTELL-LISINOPRIL 20MG TAB Accepted treatment ACE inhibitors and diuretic combinations 885019 Enalapril and diuretics PHARMAPRESS CO 10MG/12.5MG TAB Accepted treatment 787035 Enalapril and diuretics CO-RENITEC 20MG/12.5MG TAB Accepted treatment 891287 Enalapril and diuretics ENAP-CO 20MG/12.5MG TAB Accepted treatment 704703 Lisinopril and diuretics HEXAL-LISINOPRIL CO 10 10MG/12.5MG TAB Accepted treatment 716943 Lisinopril and diuretics LISINOPRIL CO UNICORN 10MG/12.5MG 10MG/12.5MG TAB Accepted treatment 711990 Lisinopril and diuretics LISINOZIDE 10MG/12.5MG TAB Accepted treatment 817848 Lisinopril and diuretics ZESTORETIC 10MG/12.5MG TAB Accepted treatment 704437 Lisinopril and diuretics LISORETIC 10/12,5 10MG/12.5MG TAB Accepted treatment 716945 Lisinopril and diuretics LISINOPRIL CO UNICORN 20MG/12.5MG 20MG/12.5MG TAB Accepted treatment 797685 Lisinopril and diuretics ZESTORETIC 20MG/12.5MG TAB Accepted treatment 704438 Lisinopril and diuretics LISORETIC 20/12,5 20MG/12.5MG TAB Accepted treatment 707292 Lisinopril and diuretics LISOZIDE 10MG/12.5MG 10MG/12.5MG TAB Accepted treatment 704597 Lisinopril and diuretics ZETOMAX CO 10/12.5 10MG/12.5MG TAB Accepted treatment 704704 Lisinopril and diuretics HEXAL LISINOPRIL CO 20 20MG/12.5MG TAB Accepted treatment
Angiotensin receptor blockers 716495 Losartan AURO LOSARTAN 100MG TAB Accepted treatment 717069 Losartan AUSTELL LOSARTAN 100MG TAB Accepted treatment 717042 Losartan HYTENZA 100MG TAB Accepted treatment 718366 Losartan LOSARTAN UNICORN 100MG TAB Accepted treatment 713254 Losartan SPEC-LOSARTAN 100MG TAB Accepted treatment 709964 Losartan ZARTAN 100MG 100MG TAB Accepted treatment 716494 Losartan AURO LOSARTAN 50MG TAB Accepted treatment 717068 Losartan AUSTELL LOSARTAN 50MG TAB Accepted treatment 717024 Losartan HYTENZA 50MG TAB Accepted treatment 718365 Losartan LOSARTAN UNICORN 50MG TAB Accepted treatment 709909 Losartan LOSARTAN-WINTHROP 50MG TAB Accepted treatment 715871 Losartan RENICARD 50MG TAB Accepted treatment 713255 Losartan SPEC-LOSARTAN 50MG TAB Accepted treatment 709924 Losartan LOS-ARB 50MG TAB Accepted treatment 720776 Losartan LOZAAN 100MG TAB Accepted treatment 720775 Losartan LOZAAN 50MG TAB Accepted treatment Angiotensin receptor blockers and diuretic 717084 Losartan and diuretics HYTENZA CO 100MG/25MG 100MG/25MG TAB Accepted treatment 715857 Losartan and diuretics LOSAAR PLUS 100MG/25MG 100MG/25MG TAB Accepted treatment 718368 Losartan and diuretics LOSARTAN CO UNICORN 100MG/25MG 100MG/25MG TAB Accepted treatment 715849 Losartan and diuretics NETRASOL CO 100/25MG 100MG/25MG TAB Accepted treatment 716217 Losartan and diuretics ZARTAN CO 100MG/25MG 100MG/25MG TAB Accepted treatment 717070 Losartan and diuretics AUSTELL LOSARTAN CO 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment 716476 Losartan and diuretics HYTENZA CO 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment 715856 Losartan and diuretics LOSAAR PLUS 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment 716274 Losartan and diuretics LOSACAR CO 50MG/12,5MG 50MG/12.5MG TAB Accepted treatment 718367 Losartan and diuretics LOSARTAN CO UNICORN 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment 715848 Losartan and diuretics NETRASOL CO 50/12.5MG 50MG/12.5MG TAB Accepted treatment Beta-blockers 826901 Atenolol BIO-ATENOLOL (WAS IVAX-ATENOLOL) 100MG TAB Accepted treatment 715626 Atenolol GULF ATENOLOL 100MG TAB Accepted treatment 787914 Atenolol SANDOZ ATENOLOL 100MG TAB Accepted treatment 705873 Atenolol TENOPRESS 100MG TAB Accepted treatment 719657 Atenolol ZETENOL 100MG TAB Accepted treatment 705872 Atenolol TENOPRESS 25MG TAB Accepted treatment 826898 Atenolol BIO-ATENOLOL (WAS NORTAN-ATENOLOL) 50MG TAB Accepted treatment 715625 Atenolol GULF ATENOLOL 50MG TAB Accepted treatment 787892 Atenolol SANDOZ ATENOLOL 50MG TAB Accepted treatment 719656 Atenolol ZETENOL 50MG TAB Accepted treatment 704651 Atenolol B-BLOCK 100MG TAB Accepted treatment 704653 Atenolol B-BLOCK 50MG TAB Accepted treatment 705874 Atenolol TENOPRESS 50MG TAB Accepted treatment 806552 Propranolol INDOBLOK 10MG TAB Accepted treatment 787167 Propranolol PRODOROL 10MG TAB Accepted treatment 758140 Propranolol PURBLOKA 10MG TAB Accepted treatment 806560 Propranolol INDOBLOK 40 40MG TAB Accepted treatment 787175 Propranolol PRODOROL 40MG TAB Accepted treatment 758167 Propranolol PURBLOKA 40MG TAB Accepted treatment Alpha-beta blockers 716743 Carvedilol CARVEDILOL UNICORN 12.5MG TAB Accepted treatment 704671 Carvedilol CARVETREND 12.5MG 12.5MG TAB Accepted treatment 710959 Carvedilol VEDIBLOK 12.5MG TAB Accepted treatment 716744 Carvedilol CARVEDILOL UNICORN 25MG TAB Accepted treatment 704672 Carvedilol CARVETREND 25MG 25MG TAB Accepted treatment 710960 Carvedilol VEDIBLOK 25MG TAB Accepted treatment Beta-blocker and diuretic combinations 807591 Atenolol and other diuretics TENCHLOR HS 50MG TAB Accepted treatment 786217 Atenolol and other diuretics TENCHLOR 100MG TAB Accepted treatment Cardiac glycosides 735744 Digoxin LANOXIN PAED 0.05MG/ML SYR Accepted treatment 735760 Digoxin LANOXIN PAED 0.0625MG TAB Accepted treatment 735752 Digoxin LANOXIN 0.25MG TAB Accepted treatment 758280 Digoxin PURGOXIN 0.25MG TAB Accepted treatment Vaccines Pneumococcal vaccine 836699 Pneumococcus purified polysacc IMOVAX PNEUMO 23 VAC Accepted treatment Influenza vaccine 711345 Influenza inactivated whole virus FLUVAX PRE-FILLED SYRINGE 0.5ML VAC Accepted treatment 732826 Influenza inactivated whole virus INFLUVAC 0.5ML VAC Accepted treatment 813338 Influenza inactivated whole virus VAXIGRIP SINGLE DOSE VAC Accepted treatment Chronic renal disease For diuretics and antihypertensives refer to Calcium 828289 Calcium products > 300MG B-CAL CHU Accepted treatment 703359 Calcium carbonate ENO TUMS ASSORTED FRUIT FLAVOURS 500MG CHU Accepted treatment 703364 Calcium carbonate ENO TUMS ORANGE FLAVOUR ROLLPAC 500MG CHU Accepted treatment 703361 Calcium carbonate ENO TUMS PEPPERMINT FLAVOUR ROLLPAC 500MG CHU Accepted treatment Vitamin D 711640 Ergocalciferol CALCIFEROL 50.000i.u. TAB Accepted treatment 711853 Ergocalciferol CALCIFEROL OILY 15ML 15ML DRP Accepted treatment 380380 Alfacalcidol ONE ALPHA DROPS 20ML DRP Accepted treatment 750654 Alfacalcidol ONE ALPHA (014050) 0.25MCG CAP Accepted treatment 750662 Alfacalcidol ONE ALPHA (014052) 1MCG CAP Accepted treatment 761249 Calcitriol ROCALTROL 0.25MCG CAP Accepted treatment Oral iron and folic acid supplementation 768596 Ferrous sulphate SYR FERRI PHOS CO MLS Accepted treatment 877832 Ferrous sulphate FERROUS SULPHATE 30MG TAB Accepted treatment 713558 Ferrous sulfate BODY BALANCE FERROUS SULPHATE 75MG TAB Accepted treatment 710372 Ferrous sulfate FERROUS SULPHATE 75MG TAB Accepted treatment 871281 Folic acid FOLIC ACID.5MG TAB Accepted treatment 711922 Folic acid FOLIC ACID 5MG TAB Accepted treatment 709874 Folic acid AHA FOLIC ACID 5MG TAB Accepted treatment 810967 Folic acid BE-TABS FOLIC ACID 5MG TAB Accepted treatment 710580 Ferrous sulphate EGOLI FERROUS SULPHATE 30MG TAB Accepted treatment 897329 Ferrous sulphate GULF FERROUS SULPHATE COMPOUND TAB Accepted treatment Parenteral iron preparations 725943 Iron trivalent, parenteral preparaferrimed 2ML 50MG/ML INJ Special investigations (SI) 873276 Saccharated iron oxide VENOFER 5X5ML AMP AMP Special investigations (SI) 711596 Ferric oxide dextran complex COSMOFER AMPOULE 2ML INJ Special investigations (SI) 720231 Iron, parenteral preparations ZYPIRON 5ML VIAL 20MG/1ML INJ Special investigations (SI) 719989 Iron, parenteral preparations RAUTEVENE SOLUTION FOR INJECTION AMPOULE 100MG/5ML INJ Special investigations (SI) 720333 Iron, parenteral preparations SUCROFER 5ML 20MG/1ML INJ Special investigations (SI) Erythropoetin 704632 Erythropoietin RECORMON 500 IU/0.3ML 500IU INJ Special investigations (SI) 704772 Erythropoietin RECORMON 2000 PRE-FILLED SYRINGE 2000IU INJ Special investigations (SI) 837318 Erythropoietin EPREX PREFILLED 2000U/.5ML INJ Special investigations (SI) 704631 Erythropoietin RECORMON 4000 IU/0.3ML 4000IU/.3ML INJ Special investigations (SI) 820741 Erythropoietin EPREX PREFILLED 4000U/.4ML INJ Special investigations (SI) Coronary artery disease Antiplatelet agents 712608 Acetylsalicylic acid ASPIRIN TEVA 80MG DSP Accepted treatment 704642 Acetylsalicylic acid SOLUSPIRIN (WAS ASPIRIN SOLUBLE) 300MG EFT Accepted treatment 704645 Acetylsalicylic acid ASPIRIN 300MG TAB Accepted treatment 719673 Acetylsalicylic acid DR DU TOITS PAIN EXPELLER 300MG TAB Accepted treatment 700909 Acetylsalicylic acid GULF ASPIRIN 300MG TAB Accepted treatment Nitrates 703605 Glyceryl trinitrate ANGISED 0.5MG TAB Accepted treatment 784206 Isosorbide dinitrate SANDOZ ISOSORBIDE DINITRATE 10 10MG TAB Accepted treatment 784192 Isosorbide dinitrate SANDOZ ISOSORBIDE DINITRATE 5 5MG TAB Accepted treatment 793418 Isosorbide mononitrate ELANTAN 20MG TAB Accepted treatment Beta-blockers 826901 Atenolol BIO-ATENOLOL (WAS IVAX-ATENOLOL) 100MG TAB Accepted treatment 715626 Atenolol GULF ATENOLOL 100MG TAB Accepted treatment 787914 Atenolol SANDOZ ATENOLOL 100MG TAB Accepted treatment 705873 Atenolol TENOPRESS 100MG TAB Accepted treatment 719657 Atenolol ZETENOL 100MG TAB Accepted treatment 705872 Atenolol TENOPRESS 25MG TAB Accepted treatment 826898 Atenolol BIO-ATENOLOL (WAS NORTAN-ATENOLOL) 50MG TAB Accepted treatment 715625 Atenolol GULF ATENOLOL 50MG TAB Accepted treatment 787892 Atenolol SANDOZ ATENOLOL 50MG TAB Accepted treatment 719656 Atenolol ZETENOL 50MG TAB Accepted treatment 704651 Atenolol B-BLOCK 100MG TAB Accepted treatment
704653 Atenolol B-BLOCK 50MG TAB Accepted treatment 705874 Atenolol TENOPRESS 50MG TAB Accepted treatment 806552 Propranolol INDOBLOK 10MG TAB Accepted treatment 787167 Propranolol PRODOROL 10MG TAB Accepted treatment 758140 Propranolol PURBLOKA 10MG TAB Accepted treatment 806560 Propranolol INDOBLOK 40 40MG TAB Accepted treatment 787175 Propranolol PRODOROL 40MG TAB Accepted treatment 758167 Propranolol PURBLOKA 40MG TAB Accepted treatment Calcium channel antagonists 708142 Amlodipine ALMADIN 10MG TAB Accepted treatment 713972 Amlodipine AMTAS 10MG TAB Accepted treatment 714311 Amlodipine AURO-AMLODIPINE 10MG TAB Accepted treatment 708095 Amlodipine AUSTELL-AMLODIPINE 10MG TAB Accepted treatment 712954 Amlodipine GULF AMLODIPINE 10MG TAB Accepted treatment 712216 Amlodipine KEYSAL 10MG TAB Accepted treatment 708141 Amlodipine ALMADIN 5MG TAB Accepted treatment 713971 Amlodipine AMTAS 5MG TAB Accepted treatment 714310 Amlodipine AURO-AMLODIPINE 5MG TAB Accepted treatment 712953 Amlodipine GULF AMLODIPINE 5MG TAB Accepted treatment 708648 Amlodipine INDO AMLODIPINE 5MG TAB Accepted treatment 712215 Amlodipine KEYSAL 5MG TAB Accepted treatment 708162 Amlodipine KLODIP 5MG TAB Accepted treatment 708051 Amlodipine AMLODAC 10MG TAB Accepted treatment 708040 Amlodipine CALBLOC 10MG TAB Accepted treatment 708152 Amlodipine CIPLAVASC 10MG TAB Accepted treatment 707980 Amlodipine CORVADIL 10MG TAB Accepted treatment 708191 Amlodipine CPL ALLIANCE AMLODIPINE 10MG TAB Accepted treatment 708353 Amlodipine LOMANOR 10MG TAB Accepted treatment 710238 Amlodipine PHARMA DYNAMICS AMLODIPINE BESYLATE 10MG TAB Accepted treatment 707277 Amlodipine AMLATE 5MG TAB Accepted treatment 708050 Amlodipine AMLODAC 5MG TAB Accepted treatment 708094 Amlodipine AUSTELL-AMLODIPINE 5MG TAB Accepted treatment 708039 Amlodipine CALBLOC 5MG TAB Accepted treatment 708150 Amlodipine CIPLAVASC 5MG TAB Accepted treatment 707979 Amlodipine CORVADIL 5MG TAB Accepted treatment 708352 Amlodipine LOMANOR 5MG TAB Accepted treatment 710236 Amlodipine PHARMA DYNAMICS AMLODIPINE BESYLATE 5MG TAB Accepted treatment 839183 Diltiazem ZILDEM 180MG SRC Accepted treatment 839191 Diltiazem ZILDEM 240MG SRC Accepted treatment 822213 Diltiazem ZILDEM 60 MG TAB Accepted treatment 824364 Diltiazem ZILDEM 90 BD 90 MG TAB Accepted treatment 829501 Nifedipine NIFEDALAT 20 SR 20 MG SRT Accepted treatment 840963 Nifedipine ADCO-VASCARD SR 20MG TAB Accepted treatment 864153 Nifedipine CIPALAT RETARD 20MG TAB Accepted treatment 700071 Verapamil VERAHEXAL 240 SR 240MG SRT Accepted treatment 774944 Verapamil VASOMIL 40MG TAB Accepted treatment 774952 Verapamil VASOMIL 80MG TAB Accepted treatment Crohn's disease Aminosalicylic acid preparations 762008 Sulfasalazine SALAZOPYRIN 500MG TAB Accepted treatment 762016 Sulfasalazine SALAZOPYRIN E.N. 500MG ECT Accepted treatment Immunosuppressants 701252 Azathioprine AZAMUN 50MG TAB Accepted treatment 706108 Azathioprine AZAPRESS 50MG TAB Accepted treatment 712609 Azathioprine AZATHIOPRINE PCH 50MG TAB Accepted treatment 700777 Azathioprine ZAPRINE 50MG 50MG TAB Accepted treatment Methotrexate 712504 Methotrexate EMTHEXATE 2.5MG TAB Accepted treatment 742465 Methotrexate METHOTREXATE 2.5MG TAB Accepted treatment 782548 Methotrexate ABITREXATE-2ML 50MG INJ Accepted treatment 782556 Methotrexate ABITREXATE-20ML 500MG INJ Accepted treatment Steroid preparations (oral) 800155 Prednisolone LENISOLONE 5MG TAB Accepted treatment 788783 Prednisone BE-TABS PREDNISONE 5MG TAB Accepted treatment 752304 Prednisone PANAFCORT 5MG TAB Accepted treatment Steroid preparations (enemas) 824593 Budesonide ENTOCORD ENEMAS 2.3MG ENE Accepted treatment Diabetes Mellitus Type 1 Insulin 733512 Insulin (human) INSU ACTRAPH HMGE 10ML VIAL 100IU/1ML INJ Accepted treatment 706040 Insulin glulisine INSU APIDRA 100IU/1ML INJ Accepted treatment 709861 Insulin glulisine INSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML 100IU/1ML INJ Accepted treatment 712770 Insulin (human) INSU BIOSULIN 30-70 CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712769 Insulin (human) INSU BIOSULIN L CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712768 Insulin (human) INSU BIOSULIN N CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712767 Insulin (human) INSU BIOSULIN R CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 819468 Insulin lispro INSU HUMALOG 100IU/1ML INJ Accepted treatment 862355 Insulin lispro INSU HUMALOG INJ 3.0ML CART 100IU/1ML INJ Accepted treatment 706760 Insulin lispro INSU HUMALOG KWIKPEN (WAS MIRIO PEN) 100IU/1ML INJ Accepted treatment 853437 Insulin lispro INSU HUMALOG MIX 25 10ML 100IU/1ML INJ Accepted treatment 861782 Insulin lispro INSU HUMALOG MIX 25 CART 3ML 100IU/1ML INJ Accepted treatment 705074 Insulin lispro INSU HUMALOG MIX 50 CART 100IU/1ML INJ Accepted treatment 783811 Insulin (human) INSU HUMULIN 30/70 10ML VIAL 100IU/1ML INJ Accepted treatment 863572 Insulin (human) INSU HUMULIN 30/70 3ML 100IU/1ML INJ Accepted treatment 704456 Insulin (human) INSU HUMULIN 30/70 PEN 3ML DISP 100IU/1ML INJ Accepted treatment 733458 Insulin (human) INSU HUMULIN N 10ML VIAL 100IU/1ML INJ Accepted treatment 863556 Insulin (human) INSU HUMULIN N 3.0ML CART 5 100IU/1ML INJ Accepted treatment 853453 Insulin (human) INSU HUMULIN N PEN 3ML 100IU/1ML INJ Accepted treatment 733431 Insulin (human) INSU HUMULIN R 10ML VIAL 100IU/1ML INJ Accepted treatment 863564 Insulin (human) INSU HUMULIN R 3.0ML CARTRIDGE 100IU/1ML INJ Accepted treatment 710299 Insulin (human) INSU INSUMAN COMB 30/70 PEN 3ML 100IU/1ML INJ Accepted treatment 707927 Insulin aspart INSU NOVORAPID 10ML 100IU/1ML INJ Accepted treatment 897775 Insulin aspart INSU NOVORAPID 3ML SOLUTION FOR I 100IU/1ML INJ Accepted treatment 733482 Insulin (human) INSU PROTAPH HMGE 10 ML VIAL 100IU/1ML INJ Accepted treatment Appliances Diabetic strips, needles, syringes and 161552 Diagnostic agents payable by PBMACCU CHECK ACTIVE MIC STRIPS 8CM X 4.5CM STR Clinical review 180991 Diagnostic agents payable by PBMACCU CHEK PERFORMA BLOOD GLUCOSE STRIPS STR Clinical review 176700 Diagnostic agents payable by PBMACCU CHEK PERFORMA BLOOD GLUCOSE STRIPS STR Clinical review 168519 Diagnostic agents payable by PBMBLOODPLASMA CONTOUR PLUS STRIPS ZZZ Clinical review 175215 Diagnostic agents payable by PBMBLOODPLASMA NOVICHECK STRIPS ZZZ Clinical review 621614 Diagnostic agents payable by PBMCARESENS II/POP TEST STRIP 29G STR Clinical review 621608 Diagnostic agents payable by PBMCARESENS N TEST STRIPS 29G ZZZ Clinical review 667990 Diagnostic agents payable by PBMGLUCOCHECK STRIPS 50S STR Clinical review 170175 Diagnostic agents payable by PBMGLUCOLAB AUTO CODING STRIPS 50 72 X 65MM STR Clinical review 187782 Diagnostic agents payable by PBMGLUCOPLUS PRO TEST STRIPS STR Clinical review 705298 Diagnostic agents payable by PBMGLUCOPLUS TEST STRIPS STR Clinical review 173709 Diagnostic agents payable by PBMGLUCOSE BLOOD TEST STRIPS DIAMOND STR Clinical review 141904 Diagnostic agents payable by PBMGLUCOSE METER STRIPS SELF MONITORING ZZZ Clinical review 118872 Diagnostic agents payable by PBMGLUCOSE STRIPS LABSTIX OK MATCH 50 ZZZ Clinical review 161236 Diagnostic agents payable by PBMGLUCOSE TEST STRIPS EASYMAX CLICKS ZZZ Clinical review 136701 Diagnostic agents payable by PBMGLUCOSE TEST STRIPS FREE STYLE OPTIUM ZZZ Clinical review 116333 Diagnostic agents payable by PBMGLUCOSE TEST STRIPS GLUCO LEADER ZZZ Clinical review 136699 Diagnostic agents payable by PBMGLUCOSE TEST STRIPS H FREE STYLE OPTIUM ZZZ Clinical review 116331 Diagnostic agents payable by PBMGLUCOSE TEST STRIPS OPTIMA ZZZ Clinical review 136707 Diagnostic agents payable by PBMGLUCOSE TESTS STRIPS FREE STYLE 50'S ZZZ Clinical review 189918 Diagnostic agents payable by PBMLANCET BIONIME STERILE DISPOSABLE 39 X 1 ZZZ Clinical review 124045 Diagnostic agents payable by PBMLANCETS EASYMAX ZZZ Clinical review 468774 Diagnostic agents payable by PBMON-CALL PLUS EZ STRIPS (ALL SIZES) STR Clinical review 510233 Diagnostic agents payable by PBMONE TOUCH SELECT TEST STRIPS STR Clinical review 449692 Diagnostic agents payable by PBMSYRINGE INSULIN 1ML WITH NEEDLE 27G ZZZ Clinical review 171155 Diagnostic agents payable by PBMTEST STRIPS ON CALL GLUCOSE TEST STRIPS STR Clinical review 136556 Diagnostic agents payable by PBMTEST STRIPS V2 SOLUS ZZZ Clinical review 149455 Non-therapeutic auxiliary producbd MICROFINE PEN NEEDLE TW 32G 4MM ZZZ Clinical review 185040 Non-therapeutic auxiliary producdroplet PEN NEEDLE 8MM X 31G NED Clinical review
675283 Non-therapeutic auxiliary producinsulin SYRINGE 29G 1ML SNG Clinical review 528024 Non-therapeutic auxiliary producinsulin SYRINGE BD MICROFINE DEMI NEEDLE SNG Clinical review 674313 Non-therapeutic auxiliary produclancet ON CALL PLUS RAPID DEVICE 5.5CM X ZZZ Clinical review 472303 Non-therapeutic auxiliary produclancet THIN ABBOTT 50'S ZZZ Clinical review 630376 Non-therapeutic auxiliary produclancets ZZZ Clinical review 141911 Non-therapeutic auxiliary produclancets BLOOD GLUCOSE ZZZ Clinical review 528031 Non-therapeutic auxiliary producmicrofine PEN NDL 30G 8MM NED Clinical review 528026 Non-therapeutic auxiliary producmicrofine PEN NEEDLE 29G 12.7MM NED Clinical review 687274 Non-therapeutic auxiliary producneedle BD PEN 31G X 5MM ZZZ Clinical review 132632 Non-therapeutic auxiliary producneedle HYPODERMIC NOVOTWIST 30G X 8MM ZZZ Clinical review 132634 Non-therapeutic auxiliary producneedle HYPODERMIC NOVOTWIST 32G X 5MM ZZZ Clinical review 528034 Non-therapeutic auxiliary producneedle PEN BD MICROFINE 31G 5M ZZZ Clinical review 460410 Non-therapeutic auxiliary producneedle UNILET EXELITE LL ZZZ Clinical review 472534 Non-therapeutic auxiliary producon-call LANCETS GLUCOSE STRIPS ZZZ Clinical review 500775 Non-therapeutic auxiliary producsyringe 01ML WITH 12.77MM INSULIN NDL SNG Clinical review 460279 Non-therapeutic auxiliary producunifine PENTIPS 31G X 8MM ZZZ Clinical review 171565 Non-therapeutic auxiliary producyspsomed PEN INSULIN DELIVERY DEVICE SNG Clinical review 458317 Other non-therapeutic auxiliary pnovofine NEEDLES NED Clinical review 403143 Other non-therapeutic auxiliary pone TOUCH ULTRA SOFT LANCET ZZZ Clinical review 526374 Other non-therapeutic auxiliary psyringe INSULIN NEEDLE 29G SNG Clinical review 678020 Other non-therapeutic auxiliary pbd MICROFINE 0.5ML INSULIN SYRINGE 29G 1 ZZZ Clinical review 678022 Other non-therapeutic auxiliary p'bd MICROFINE 1ML INSULIN SYRINGE 29G 12 ZZZ Clinical review 678021 Other non-therapeutic auxiliary pbd MICROFINE 1ML INSULIN SYRINGE 30G 8MM ZZZ Clinical review 460272 Other non-therapeutic auxiliary pbd MICROFINE PEN NEEDLE 30G 8MM ZZZ Clinical review 438264 Other non-therapeutic auxiliary phumapen LUXURA INSULIN DELIVERY DEVICE SNG Clinical review 528698 Other non-therapeutic auxiliary pinsulin SYRINGE 8MM SNG Clinical review 138352 Other non-therapeutic auxiliary plancets SOLUS V2 ZZZ Clinical review 508771 Other non-therapeutic auxiliary pmicrolet LANCETS ZZZ Clinical review 463828 Other non-therapeutic auxiliary pneedle BD PEN 31G 8MM 100 1350 SNG Clinical review 129932 Other non-therapeutic auxiliary pneedle INSUPEN 30G X 8MM ZZZ Clinical review 129934 Other non-therapeutic auxiliary pneedle INSUPEN 31G X 5MM ZZZ Clinical review 129935 Other non-therapeutic auxiliary pneedle INSUPEN 32G X 4MM ZZZ Clinical review 678018 Other non-therapeutic auxiliary psyringe INSULIN BD 0.3ML 8MM 30G ZZZ Clinical review 678019 Other non-therapeutic auxiliary psyringe INSULIN BD 0.5ML 8MM 30G ZZZ Clinical review 438732 Other non-therapeutic auxilliary GLUCO PLUS LANCETS ZZZ Clinical review 605351 Other non-therapeutic auxilliary GLUCOLAB GLUCOCHECK LANCETS ZZZ Clinical review 511143 Other non-therapeutic auxilliary LANCETS UNILET STERILE 28G 4CM X 6CM X 7 ZZZ Clinical review 491052 Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 12 X29G ZZZ Clinical review 491050 Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 6 X 31G ZZZ Clinical review 491048 Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 8 X 30G ZZZ Clinical review 107404 Other non-therapeutic auxilliary STRIPS TESTING GLUCOLEADER YASEE ZZZ Clinical review Diabetes Mellitus Type 2 Biguanides 714427 Metformin ACCORD METFORMIN 500MG TAB Accepted treatment 715936 Metformin DIAFORMIN 500MG TAB Accepted treatment 714186 Metformin DIAMIN 500MG TAB Accepted treatment 719784 Metformin DIAPHAGE 500MG TAB Accepted treatment 714525 Metformin GLUCONORM 500MG TAB Accepted treatment 714680 Metformin MENGEN (WAS AURO-METFORMIN) 500MG TAB Accepted treatment 718231 Metformin METCHEK 500MG TAB Accepted treatment 718828 Metformin METFORMIN ALKEM 500MG TAB Accepted treatment 709246 Metformin METPHAGE 500MG TAB Accepted treatment 897957 Metformin MYLAN METFORMIN 500MG TAB Accepted treatment 719285 Metformin SANDOZ METFORMIN HCL 500 500MG TAB Accepted treatment 815225 Metformin SANDOZ METFORMIN HCL 500 FC 500MG TAB Accepted treatment 702385 Metformin METFORAL 500 500MG TAB Accepted treatment 714426 Metformin ACCORD METFORMIN 850MG TAB Accepted treatment 715937 Metformin DIAFORMIN FORTE 850MG TAB Accepted treatment 714187 Metformin DIAMIN 850MG TAB Accepted treatment 719785 Metformin DIAPHAGE 850MG TAB Accepted treatment 714526 Metformin GLUCONORM 850MG TAB Accepted treatment 709339 Metformin INDO METFORMIN FC 850MG TAB Accepted treatment 714681 Metformin MENGEN (WAS AURO-METFORMIN) 850MG TAB Accepted treatment 897961 Metformin MERCK-METFORMIN 850MG TAB Accepted treatment 718232 Metformin METCHEK 850MG TAB Accepted treatment 702363 Metformin METFORAL 850MG 850MG TAB Accepted treatment 718827 Metformin METFORMIN ALKEM 850MG TAB Accepted treatment 711638 Metformin METORED 850MG TAB Accepted treatment 709247 Metformin METPHAGE 850MG TAB Accepted treatment 719293 Metformin SANDOZ-METFORMIN 850MG 850MG TAB Accepted treatment 815233 Metformin SANDOZ-METFORMIN FC 850MG 850MG TAB Accepted treatment 706672 Metformin ARROW METFORMIN 500MG TAB Accepted treatment 708281 Metformin BIGSENS 500MG TAB Accepted treatment 709338 Metformin INDO METFORMIN FC 500MG TAB Accepted treatment 711636 Metformin METORED 500MG TAB Accepted treatment 706673 Metformin ARROW METFORMIN 850MG TAB Accepted treatment 705758 Metformin AUSTELL-METFORMIN 850MG 850MG TAB Accepted treatment 708282 Metformin BIGSENS 850MG TAB Accepted treatment Sulphonylureas 827053 Glibenclamide BIO-GLIBENCLAMIDE 5MG TAB Accepted treatment 894502 Glibenclamide DIACARE 5MG TAB Accepted treatment 729361 Glibenclamide GLYCOMIN 5MG TAB Accepted treatment 781258 Glibenclamide SANDOZ GLIBENCLAMIDE 5 5MG TAB Accepted treatment 709538 Gliclazide ARROW GLICLAZIDE 80MG TAB Accepted treatment 868906 Gliclazide DIAGLUCIDE 80MG TAB Accepted treatment 720665 Gliclazide DIAGLUMED 80MG TAB Accepted treatment 834599 Gliclazide GLUCOMED 80MG TAB Accepted treatment 838209 Gliclazide GLYCRON 80MG TAB Accepted treatment 700717 Gliclazide GLYGARD 80MG TAB Accepted treatment 700639 Gliclazide MERCK-GLICLAZIDE 80MG TAB Accepted treatment 834866 Gliclazide SANDOZ GLICLAZIDE 80 80MG TAB Accepted treatment 705760 Gliclazide AUSTELL-GLICLAZIDE 80MG TAB Accepted treatment Thiazolidines 718148 Pioglitazone ACCORD PIOGLITAZONE 15MG TAB specialist motivation/si 718150 Pioglitazone ACCORD PIOGLITAZONE 30MG TAB specialist motivation/si 718151 Pioglitazone ACCORD PIOGLITAZONE 45MG TAB specialist motivation/si 707974 Pioglitazone CIPLA PIOGLITAZONE 15 15MG TAB specialist motivation/si 707981 Pioglitazone CIPLA PIOGLITAZONE 30 30MG TAB specialist motivation/si Insulin 733512 Insulin (human) INSU ACTRAPH HMGE 10ML VIAL 100IU/1ML INJ Accepted treatment 706040 Insulin glulisine INSU APIDRA 100IU/1ML INJ Accepted treatment 709861 Insulin glulisine INSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML 100IU/1ML INJ Accepted treatment 712770 Insulin (human) INSU BIOSULIN 30-70 CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712769 Insulin (human) INSU BIOSULIN L CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712768 Insulin (human) INSU BIOSULIN N CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 712767 Insulin (human) INSU BIOSULIN R CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment 819468 Insulin lispro INSU HUMALOG 100IU/1ML INJ Accepted treatment 862355 Insulin lispro INSU HUMALOG INJ 3.0ML CART 100IU/1ML INJ Accepted treatment 853437 Insulin lispro INSU HUMALOG MIX 25 10ML 100IU/1ML INJ Accepted treatment 861782 Insulin lispro INSU HUMALOG MIX 25 CART 3ML 100IU/1ML INJ Accepted treatment 705074 Insulin lispro INSU HUMALOG MIX 50 CART 100IU/1ML INJ Accepted treatment 783811 Insulin (human) INSU HUMULIN 30/70 10ML VIAL 100IU/1ML INJ Accepted treatment 863572 Insulin (human) INSU HUMULIN 30/70 3ML 100IU/1ML INJ Accepted treatment 704456 Insulin (human) INSU HUMULIN 30/70 PEN 3ML DISP 100IU/1ML INJ Accepted treatment 733458 Insulin (human) INSU HUMULIN N 10ML VIAL 100IU/1ML INJ Accepted treatment 863556 Insulin (human) INSU HUMULIN N 3.0ML CART 5 100IU/1ML INJ Accepted treatment 853453 Insulin (human) INSU HUMULIN N PEN 3ML 100IU/1ML INJ Accepted treatment 733431 Insulin (human) INSU HUMULIN R 10ML VIAL 100IU/1ML INJ Accepted treatment 863564 Insulin (human) INSU HUMULIN R 3.0ML CARTRIDGE 100IU/1ML INJ Accepted treatment 710299 Insulin (human) INSU INSUMAN COMB 30/70 PEN 3ML 100IU/1ML INJ Accepted treatment 706760 Insulin lispro INSU MIRIO PEN HUMALOG 100IU/1ML INJ Accepted treatment