Browse by Changes

General Pharmaceutical Benefits

Additions

Addition – Item

10323H CRIZOTINIB, crizotinib 200 mg capsule, 60 (Xalkori)
10322G CRIZOTINIB, crizotinib 250 mg capsule, 60 (Xalkori)
10295W ESOMEPRAZOLE, esomeprazole 20 mg capsule, 30 (Noxicid Caps)
10343J ESOMEPRAZOLE, esomeprazole 20 mg capsule, 30 (Noxicid Caps)
10330Q ESOMEPRAZOLE, esomeprazole 40 mg capsule, 30 (Noxicid Caps)
10331R ESOMEPRAZOLE, esomeprazole 40 mg capsule, 30 (Noxicid Caps)
10332T GLYCOMACROPEPTIDE AND ESSENTIAL AMINO ACIDS WITH VITAMINS AND MINERALS, glycomacropeptide and essential amino acids with vitamins and minerals containing 15 g protein oral liquid, 30 x 250 mL cartons (PKU Glytactin RTD 15)
10359F GLYCOMACROPEPTIDE AND ESSENTIAL AMINO ACIDS WITH VITAMINS AND MINERALS, glycomacropeptide and essential amino acids with vitamins and minerals containing 10 g protein oral liquid, 30 x 250 mL cartons (PKU Glytactin RTD 10)
10293R LACOSAMIDE, lacosamide 50 mg tablet, 14 (Vimpat)
10374B RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 1 x 0.165 mL syringe (Lucentis)
10373Y RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 1 x 0.23 mL vial (Lucentis)

Addition – Brand

9012H Chem mart Alendronate Plus D3 70 mg/70 mcg, CHALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
9012H Terry White Chemists Alendronate Plus D3 70 mg/70 mcg, TWALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
9183H Chem mart Alendronate Plus D3 70 mg/140 mcg, CHALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4
9183H Terry White Chemists Alendronate Plus D3 70 mg/140 mcg, TWALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4
1208N APO-Ciprofloxacin, TXCIPROFLOXACIN, ciprofloxacin 250 mg tablet, 14
1209P APO-Ciprofloxacin, TXCIPROFLOXACIN, ciprofloxacin 500 mg tablet, 14
1210Q APO-Ciprofloxacin, TXCIPROFLOXACIN, ciprofloxacin 750 mg tablet, 14
8600P Esomeprazole AN, EAESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8600P Esomeprazole Sandoz, SZESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8600P Nexole, QAESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8886Q Esomeprazole AN, EAESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8886Q Esomeprazole Sandoz, SZESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8886Q Nexole, QAESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
3401B Esomeprazole AN, EAESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
3401B Esomeprazole Sandoz, SZESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
3401B Nexole, QAESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
8601Q Esomeprazole AN, EAESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
8601Q Esomeprazole Sandoz, SZESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
8601Q Nexole, QAESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
1512N Hequinel, QAHYDROXYCHLOROQUINE, hydroxychloroquine sulfate 200 mg tablet, 100
1512N Hydroxychloroquine AN, EAHYDROXYCHLOROQUINE, hydroxychloroquine sulfate 200 mg tablet, 100
8612G Chemists' Own Macrogol with Electrolytes, FMMACROGOL-3350 + SODIUM CHLORIDE + POTASSIUM CHLORIDE + BICARBONATE, macrogol-3350 13.12 g + sodium chloride 350.7 mg + potassium chloride 46.6 mg (0.63 mmol potassium) + sodium bicarbonate 178.5 mg solution, 30 sachets
8887R Meloxicam Sandoz, SZMELOXICAM, meloxicam 7.5 mg capsule, 30
8888T Meloxicam Sandoz, SZMELOXICAM, meloxicam 15 mg capsule, 30
8507R Parbezol, QARABEPRAZOLE, rabeprazole sodium 10 mg tablet: enteric, 28
8508T Parbezol, QARABEPRAZOLE, rabeprazole sodium 20 mg tablet: enteric, 30
8509W Parbezol, QARABEPRAZOLE, rabeprazole sodium 20 mg tablet: enteric, 30
8378Y APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 5 mg capsule, 5
8819E APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 5 mg capsule, 5
8379B APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 20 mg capsule, 5
8820F APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 20 mg capsule, 5
8380C APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 100 mg capsule, 5
8821G APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 100 mg capsule, 5
9361Q APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 140 mg capsule, 5
9362R APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 140 mg capsule, 5
10062N APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 180 mg capsule, 5
2438H APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 180 mg capsule, 5
8381D APO-Temozolomide, TXTEMOZOLOMIDE, temozolomide 250 mg capsule, 5

 

Deletions

Deletion – Item

3411M GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100 (Accu-Chek Advantage/Sensor Comfort)
3412N GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100 (Accu-Chek Advantage/Sensor Comfort)

Deletion – Brand

5006L Pharmacor AmoxyClav 875/125, CRAMOXYCILLIN + CLAVULANIC ACID, amoxycillin 875 mg + clavulanic acid 125 mg tablet, 10 (Dental)
8254K Pharmacor AmoxyClav 875/125, CRAMOXYCILLIN + CLAVULANIC ACID, amoxycillin 875 mg + clavulanic acid 125 mg tablet, 10
1783W Ceftriaxone ICP, PPCEFTRIAXONE, ceftriaxone 500 mg injection, 1 x 500 mg vial
9058R Ceftriaxone ICP, PPCEFTRIAXONE, ceftriaxone 500 mg injection, 1 x 500 mg vial
3119E Pharmacor Cephalexin 500, CRCEPHALEXIN, cephalexin 500 mg capsule, 20
3318P Pharmacor Cephalexin 500, CRCEPHALEXIN, cephalexin 500 mg capsule, 20 (Dental)
1834M Gabapentin 300, CRGABAPENTIN, gabapentin 300 mg capsule, 100
1835N Gabapentin 400, CRGABAPENTIN, gabapentin 400 mg capsule, 100
3010K Norfloxacin AN, EANORFLOXACIN, norfloxacin 400 mg tablet, 14
9373H Dilart HCT 160/12.5, AFVALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28
9374J Dilart HCT 160/25, AFVALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28
9481B Dilart HCT 320/12.5, AFVALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28
9482C Dilart HCT 320/25, AFVALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28

Deletion – Equivalence Indicator

1783W Ceftriaxone-AFT, AECEFTRIAXONE, ceftriaxone 500 mg injection, 1 x 500 mg vial
9058R Ceftriaxone-AFT, AECEFTRIAXONE, ceftriaxone 500 mg injection, 1 x 500 mg vial
9374J Co-Diovan 160/25, NVVALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28

 

Alterations

Alteration – Brand Name

From
9012H FonatPLUS, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
To
9012H FonatPlus, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
From
9183H FonatPLUS, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4
To
9183H FonatPlus, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

5543R BETAXOLOL, betaxolol 0.25% eye drops, 5 mL (Betoptic S) (Optometrical)
5544T BETAXOLOL, betaxolol 0.5% eye drops, 5 mL (BetoQuin, Betoptic) (Optometrical)
10053D BIMATOPROST, bimatoprost 0.03% eye drops, 30 x 0.4 mL unit doses (Lumigan PF) (Optometrical)
5551E BIMATOPROST, bimatoprost 0.03% eye drops, 3 mL (Lumigan) (Optometrical)
10108B BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL unit doses (GANfort PF 0.3/5) (Optometrical)
5558M BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 3 mL (Ganfort 0.3/5) (Optometrical)
5534G BRIMONIDINE, brimonidine tartrate 0.2% eye drops, 5 mL (Alphagan, Enidin) (Optometrical)
5563T BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5) (Optometrical)
5535H BRIMONIDINE + TIMOLOL, brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (Combigan) (Optometrical)
5540N BRINZOLAMIDE, brinzolamide 1% eye drops, 5 mL (Azopt, BrinzoQuin) (Optometrical)
5562R BRINZOLAMIDE + TIMOLOL, brinzolamide 1% + timolol 0.5% eye drops, 5 mL (Azarga) (Optometrical)
8760C CAPTOPRIL, captopril 5 mg/mL oral liquid, 95 mL (Capoten)
10011X DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
5541P DORZOLAMIDE, dorzolamide 2% (20 mg/mL) eye drops, 5 mL (Trusamide, Trusopt) (Optometrical)
5542Q DORZOLAMIDE + TIMOLOL, dorzolamide 2% + timolol 0.5% eye drops, 5 mL (Cosdor, Cosopt, Dorzolamide/Timolol Sandoz 20/5) (Optometrical)
3401B ESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets (Esomeprazole AN, Esomeprazole Apotex, Esomeprazole GxP, Esomeprazole RBX, Esomeprazole Sandoz, Nexium, Nexole)
8600P ESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets (Esomeprazole AN, Esomeprazole Apotex, Esomeprazole GxP, Esomeprazole RBX, Esomeprazole Sandoz, Nexium, Nexole)
8601Q ESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets (Esomeprazole AN, Esomeprazole Apotex, Esomeprazole GxP, Esomeprazole RBX, Esomeprazole Sandoz, Nexium, Nexole)
8886Q ESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets (Esomeprazole AN, Esomeprazole Apotex, Esomeprazole GxP, Esomeprazole RBX, Esomeprazole Sandoz, Nexium, Nexole)
10012Y IVABRADINE, ivabradine 5 mg tablet, 56 (Coralan)
2960T IVABRADINE, ivabradine 7.5 mg tablet, 56 (Coralan)
9148L LAPATINIB, lapatinib 250 mg tablet, 70 (Tykerb)
5552F LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL (APO-Latanoprost, Chem mart Latanoprost, Latanoprost Actavis, Latanoprost GH, Latanoprost Pfizer, Latanoprost Sandoz, Terry White Chemists Latanoprost, Xalaprost, Xalatan) (Optometrical)
5553G LATANOPROST + TIMOLOL, latanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL (APO-Latanoprost/Timolol 0.05/5, Latanocom, Latanoprost/Timolol Sandoz 50/5, Xalacom, Xalamol 50/5) (Optometrical)
5536J PILOCARPINE, pilocarpine hydrochloride 1% eye drops, 15 mL (Isopto Carpine) (Optometrical)
5537K PILOCARPINE, pilocarpine hydrochloride 2% eye drops, 15 mL (Isopto Carpine) (Optometrical)
5538L PILOCARPINE, pilocarpine hydrochloride 4% eye drops, 15 mL (Isopto Carpine) (Optometrical)
2748P TAFLUPROST, tafluprost 0.0015% eye drops, 30 x 0.3 mL unit doses (Saflutan) (Optometrical)
5546X TIMOLOL, timolol 0.1% eye gel, 5 g (Nyogel) (Optometrical)
5548B TIMOLOL, timolol 0.5% (5 mg/mL) eye drops, 5 mL (Tenopt, Timoptol) (Optometrical)
5549C TIMOLOL, timolol 0.25% (2.5 mg/mL) eye drops, 2.5 mL (Timoptol XE) (Optometrical)
5550D TIMOLOL, timolol 0.5% (5 mg/mL) eye drops, 2.5 mL (Timoptol XE) (Optometrical)
5555J TIMOLOL + TRAVOPROST, timolol 0.5% + travoprost 0.004% eye drops, 2.5 mL (Duotrav) (Optometrical)

Alteration – Restriction Level

From To
10012Y IVABRADINE, ivabradine 5 mg tablet, 56 (Coralan) authority-required streamlined
2960T IVABRADINE, ivabradine 7.5 mg tablet, 56 (Coralan) authority-required streamlined

Alteration – Manufacturer Code

From To
5006L Clavam 875 mg/125 mgAMOXYCILLIN + CLAVULANIC ACID, amoxycillin 875 mg + clavulanic acid 125 mg tablet, 10 (Dental) NJ CR
8254K Clavam 875 mg/125 mgAMOXYCILLIN + CLAVULANIC ACID, amoxycillin 875 mg + clavulanic acid 125 mg tablet, 10 NJ CR
2886X Albey Bee VenomBEE VENOM, bee venom 550 microgram injection [1 x 550 microgram vial] (&) inert substance diluent [4 vials], 1 pack HL DE
3119E Cephalex 500CEPHALEXIN, cephalexin 500 mg capsule, 20 NJ CR
3318P Cephalex 500CEPHALEXIN, cephalexin 500 mg capsule, 20 (Dental) NJ CR
2954L TafinlarDABRAFENIB, dabrafenib 50 mg capsule, 120 GK NV
2963Y TafinlarDABRAFENIB, dabrafenib 50 mg capsule, 120 GK NV
10003L TafinlarDABRAFENIB, dabrafenib 75 mg capsule, 120 GK NV
2846T TafinlarDABRAFENIB, dabrafenib 75 mg capsule, 120 GK NV
8700X EsipramESCITALOPRAM, escitalopram 10 mg tablet, 28 UA CF
9432K EsipramESCITALOPRAM, escitalopram 10 mg tablet, 28 UA CF
8701Y EsipramESCITALOPRAM, escitalopram 20 mg tablet, 28 UA CF
9433L EsipramESCITALOPRAM, escitalopram 20 mg tablet, 28 UA CF
8505P GabacorGABAPENTIN, gabapentin 100 mg capsule, 100 NJ CR
1834M GabacorGABAPENTIN, gabapentin 300 mg capsule, 100 NJ CR
1835N GabacorGABAPENTIN, gabapentin 400 mg capsule, 100 NJ CR
9148L TykerbLAPATINIB, lapatinib 250 mg tablet, 70 GK NV
2918N Albey Paper Wasp VenomPAPER WASP VENOM, paper wasp venom 550 microgram injection [1 x 550 microgram vial] (&) inert substance diluent [4 vials], 1 pack HL DE
10042M VotrientPAZOPANIB, pazopanib 200 mg tablet, 90 GK NV
10047T VotrientPAZOPANIB, pazopanib 200 mg tablet, 90 GK NV
10054E VotrientPAZOPANIB, pazopanib 200 mg tablet, 30 GK NV
2029T VotrientPAZOPANIB, pazopanib 200 mg tablet, 90 GK NV
2034C VotrientPAZOPANIB, pazopanib 200 mg tablet, 90 GK NV
2232L VotrientPAZOPANIB, pazopanib 200 mg tablet, 30 GK NV
10041L VotrientPAZOPANIB, pazopanib 400 mg tablet, 60 GK NV
10043N VotrientPAZOPANIB, pazopanib 400 mg tablet, 60 GK NV
10052C VotrientPAZOPANIB, pazopanib 400 mg tablet, 30 GK NV
2030W VotrientPAZOPANIB, pazopanib 400 mg tablet, 60 GK NV
2035D VotrientPAZOPANIB, pazopanib 400 mg tablet, 60 GK NV
2201W VotrientPAZOPANIB, pazopanib 400 mg tablet, 30 GK NV
2883R Albey Yellow Jacket VenomVESPULA SPP VENOM, vespula spp venom 550 microgram injection [1 x 550 microgram vial] (&) inert substance diluent [4 vials], 1 pack HL DE

 

Advance Notices

1 August 2015 - Deletion – Brand

1003T Acihexal, SZACICLOVIR, aciclovir 200 mg tablet, 25
2873F Invokana, JC – CANAGLIFLOZIN, canagliflozin 100 mg tablet, 30
2987F Invokana, JC – CANAGLIFLOZIN, canagliflozin 300 mg tablet, 30
9157Y Sensipar, ANCINACALCET, cinacalcet 30 mg tablet, 28
9158B Sensipar, ANCINACALCET, cinacalcet 60 mg tablet, 28
9159C Sensipar, ANCINACALCET, cinacalcet 90 mg tablet, 28
3064G Genlac, QA – LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1

1 September 2015 - Deletion – Brand

10141R EasyMate II, WIGLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100
10145Y EasyMate II, WIGLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100
9485F Lifeline Attest, OIGLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 50
9486G Lifeline Attest, OIGLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 50
2476H Exelon, NVRIVASTIGMINE, rivastigmine 2 mg/mL oral liquid, 120 mL
8563Q Exelon, NVRIVASTIGMINE, rivastigmine 2 mg/mL oral liquid, 120 mL

1 October 2015 - Deletion – Brand

8023G Lescol, NVFLUVASTATIN, fluvastatin 20 mg capsule, 28
8023G Vastin, NMFLUVASTATIN, fluvastatin 20 mg capsule, 28
8024H Lescol, NVFLUVASTATIN, fluvastatin 40 mg capsule, 28
8024H Vastin, NMFLUVASTATIN, fluvastatin 40 mg capsule, 28
9234B Lescol, NVFLUVASTATIN, fluvastatin 20 mg capsule, 28
9234B Vastin, NMFLUVASTATIN, fluvastatin 20 mg capsule, 28
9235C Lescol, NVFLUVASTATIN, fluvastatin 40 mg capsule, 28
9235C Vastin, NMFLUVASTATIN, fluvastatin 40 mg capsule, 28

 

 

Palliative Care

Addition – Brand

5389P Chemists' Own Macrogol with Electrolytes, FMMACROGOL-3350 + SODIUM CHLORIDE + POTASSIUM CHLORIDE + BICARBONATE, macrogol-3350 13.12 g + sodium chloride 350.7 mg + potassium chloride 46.6 mg (0.63 mmol potassium) + sodium bicarbonate 178.5 mg solution, 30 sachets
5390Q Chemists' Own Macrogol with Electrolytes, FMMACROGOL-3350 + SODIUM CHLORIDE + POTASSIUM CHLORIDE + BICARBONATE, macrogol-3350 13.12 g + sodium chloride 350.7 mg + potassium chloride 46.6 mg (0.63 mmol potassium) + sodium bicarbonate 178.5 mg solution, 30 sachets

Advance Notices - 1 August 2015

5387M Genlac, QA – LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1
5388N Genlac, QA – LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1

 

Highly Specialised Drugs Program (Private Hospital)

Deletion – Item

6265R ABACAVIR, abacavir 20 mg/mL oral liquid, 240 mL (Ziagen)
6264Q ABACAVIR, abacavir 300 mg tablet, 60 (Ziagen)
6458X ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30 (Kivexa)
6327B ABACAVIR + LAMIVUDINE + ZIDOVUDINE, abacavir 300 mg + lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Trizivir)
6450L ADEFOVIR DIPIVOXIL, adefovir dipivoxil 10 mg tablet, 30 (APO-Adefovir, Hepsera)
6451M ATAZANAVIR, atazanavir 150 mg capsule, 60 (Reyataz)
6452N ATAZANAVIR, atazanavir 200 mg capsule, 60 (Reyataz)
9614B ATAZANAVIR, atazanavir 300 mg capsule, 30 (Reyataz)
9581G DARUNAVIR, darunavir 150 mg tablet, 240 (Prezista)
5000E DARUNAVIR, darunavir 600 mg tablet, 60 (Prezista)
10000H DARUNAVIR, darunavir 800 mg tablet, 30 (Prezista)
6298L DIDANOSINE, didanosine 125 mg capsule: enteric, 30 (Videx EC)
6299M DIDANOSINE, didanosine 200 mg capsule: enteric, 30 (Videx EC)
6300N DIDANOSINE, didanosine 250 mg capsule: enteric, 30 (Videx EC)
6301P DIDANOSINE, didanosine 400 mg capsule: enteric, 30 (Videx EC)
10070B DOLUTEGRAVIR, dolutegravir 50 mg tablet, 30 (Tivicay)
10248J DOLUTEGRAVIR + ABACAVIR + LAMIVUDINE, dolutegravir 50 mg + abacavir 600 mg + lamivudine 300 mg tablet, 30 (Triumeq)
6372J EFAVIRENZ, efavirenz 30 mg/mL oral liquid, 180 mL (Stocrin)
9618F EFAVIRENZ, efavirenz 200 mg tablet, 90 (Stocrin)
6356M EFAVIRENZ, efavirenz 600 mg tablet, 30 (Stocrin)
6137B EMTRICITABINE, emtricitabine 200 mg capsule, 30 (Emtriva)
1490K EMTRICITABINE + RILPIVIRINE + TENOFOVIR, emtricitabine 200 mg + rilpivirine 25 mg + tenofovir disoproxil fumarate 300 mg tablet, 30 (Eviplera)
6455R ENFUVIRTIDE, enfuvirtide 90 mg injection [60 x 90 mg vials] (&) inert substance diluent [60 x 1.1 mL vials], 1 pack (Fuzeon)
9602J ENTECAVIR, entecavir monohydrate 500 microgram tablet, 30 (Baraclude)
9603K ENTECAVIR, entecavir monohydrate 1 mg tablet, 30 (Baraclude)
5062K ETRAVIRINE, etravirine 200 mg tablet, 60 (Intelence)
6454Q FOSAMPRENAVIR, fosamprenavir 50 mg/mL oral liquid, 225 mL (Telzir)
6453P FOSAMPRENAVIR, fosamprenavir 700 mg tablet, 60 (Telzir)
6134W FOSCARNET, FOSCARNET SODIUM I.V. infusion 24 mg per mL, 250 mL bottle, 6 (Foscavir)
6202K INDINAVIR, indinavir 400 mg capsule, 180 (Crixivan 400 mg)
6271C LAMIVUDINE, lamivudine 5 mg/mL oral liquid, 240 mL (Zeffix)
6194B LAMIVUDINE, lamivudine 10 mg/mL oral liquid, 240 mL (3TC)
6257H LAMIVUDINE, lamivudine 100 mg tablet, 28 (Zeffix, Zetlam)
6193Y LAMIVUDINE, lamivudine 150 mg tablet, 60 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
6435Q LAMIVUDINE, lamivudine 300 mg tablet, 30 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
6234D LAMIVUDINE + ZIDOVUDINE, lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Combivir, Lamivudine 150 mg + Zidovudine 300 mg Alphapharm)
6341R LOPINAVIR + RITONAVIR, lopinavir 400 mg/5 mL + ritonavir 100 mg/5 mL oral liquid, 60 mL (Kaletra)
9633B LOPINAVIR + RITONAVIR, lopinavir 100 mg + ritonavir 25 mg tablet, 60 (Kaletra)
6495W LOPINAVIR + RITONAVIR, lopinavir 200 mg + ritonavir 50 mg tablet, 120 (Kaletra)
9572T MARAVIROC, maraviroc 150 mg tablet, 60 (Celsentri)
9573W MARAVIROC, maraviroc 300 mg tablet, 60 (Celsentri)
9571R NEVIRAPINE, nevirapine 10 mg/mL oral liquid, 240 mL (Viramune)
6215D NEVIRAPINE, nevirapine 200 mg tablet, 60 (Nevipin, Nevirapine Alphapharm, Nevirapine RBX, Viramune)
1129K NEVIRAPINE, nevirapine 400 mg tablet: modified release, 30 tablets (Viramune XR)
2743J RALTEGRAVIR, raltegravir 25 mg tablet: chewable, 60 (Isentress)
2754Y RALTEGRAVIR, raltegravir 100 mg tablet: chewable, 60 (Isentress)
9629T RALTEGRAVIR, raltegravir 400 mg tablet, 60 (Isentress)
1170N RILPIVIRINE, rilpivirine 25 mg tablet, 30 (Edurant)
6494T RITONAVIR, ritonavir 600 mg/7.5 mL oral liquid, 90 mL (Norvir)
9677H RITONAVIR, ritonavir 100 mg tablet, 30 (Norvir)
6498B SAQUINAVIR, saquinavir 500 mg tablet, 120 (Invirase)
6186N STAVUDINE, stavudine 20 mg capsule, 60 (Zerit)
6189R STAVUDINE, stavudine 30 mg capsule, 60 (Zerit)
6190T STAVUDINE, stavudine 40 mg capsule, 60 (Zerit)
9630W TELBIVUDINE, telbivudine 600 mg tablet, 28 (Sebivo)
6358P TENOFOVIR, tenofovir disoproxil fumarate 300 mg tablet, 30 (Viread)
6468K TENOFOVIR + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (Truvada)
9650X TENOFOVIR + EMTRICITABINE + EFAVIRENZ, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + efavirenz 600 mg tablet, 30 (Atripla)
10085T TENOFOVIR + EMTRICITABINE + ELVITEGRAVIR + COBICISTAT, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + elvitegravir 150 mg + cobicistat 150 mg tablet, 30 (Stribild)
9610T TIPRANAVIR, tipranavir 250 mg capsule, 120 (Aptivus)
6153W ZIDOVUDINE, zidovudine 100 mg capsule, 100 (Retrovir)
6154X ZIDOVUDINE, zidovudine 250 mg capsule, 40 (Retrovir)
6155Y ZIDOVUDINE, zidovudine 50 mg/5 mL oral liquid, 200 mL (Retrovir)

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

6101D CLOZAPINE, clozapine 25 mg tablet, 100 (Clopine 25, Clozaril 25)
6102E CLOZAPINE, clozapine 100 mg tablet, 100 (Clopine 100, Clozaril 100)
6417R CLOZAPINE, clozapine 50 mg tablet, 100 (Clopine 50)
6418T CLOZAPINE, clozapine 200 mg tablet, 100 (Clopine 200)
9632Y CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Clopine Suspension)
6136Y GANCICLOVIR, ganciclovir 500 mg injection, 5 x 500 mg vials (Cymevene)
6210W INTERFERON ALFA-2A, interferon alfa-2a 3 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
6211X INTERFERON ALFA-2A, interferon alfa-2a 4.5 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
6212Y INTERFERON ALFA-2A, interferon alfa-2a 6 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
6213B INTERFERON ALFA-2A, interferon alfa-2a 9 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
6218G INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/3 mL injection, 1 x 3 mL vial (Intron A)
6219H INTERFERON ALFA-2B, interferon alfa-2b 25 million international units/2.5 mL injection, 1 x 2.5 mL vial (Intron A)
6246R INTERFERON ALFA-2B, interferon alfa-2b 10 million international units/mL injection, 5 x 1 mL vials (Intron A)
6253D INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
6254E INTERFERON ALFA-2B, interferon alfa-2b 30 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
6255F INTERFERON ALFA-2B, interferon alfa-2b 60 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
6439X PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
6449K PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
6357N VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valcyte)
9675F VALGANCICLOVIR, valganciclovir 50 mg/mL oral liquid: powder for, 100 mL (Valcyte)

Alteration – Manufacturer Code

From To
5827Q RevoladeELTROMBOPAG, eltrombopag 25 mg tablet, 28 GK NV
5828R RevoladeELTROMBOPAG, eltrombopag 50 mg tablet, 28 GK NV

Advance Notices - 1 August 2015

Deletion – Brand

9625N Sensipar, ANCINACALCET, cinacalcet 30 mg tablet, 28
9626P Sensipar, ANCINACALCET, cinacalcet 60 mg tablet, 28
9627Q Sensipar, ANCINACALCET, cinacalcet 90 mg tablet, 28
6270B Desferal 2 g, NVDESFERRIOXAMINE, desferrioxamine mesylate 2 g injection, 1 x 2 g vial

 

Highly Specialised Drugs Program (Public Hospital)

Deletion – Item

5602W ABACAVIR, abacavir 20 mg/mL oral liquid, 240 mL (Ziagen)
5601T ABACAVIR, abacavir 300 mg tablet, 60 (Ziagen)
5603X ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30 (Kivexa)
5604Y ABACAVIR + LAMIVUDINE + ZIDOVUDINE, abacavir 300 mg + lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Trizivir)
5606C ADEFOVIR DIPIVOXIL, adefovir dipivoxil 10 mg tablet, 30 (APO-Adefovir, Hepsera)
5613K ATAZANAVIR, atazanavir 150 mg capsule, 60 (Reyataz)
5614L ATAZANAVIR, atazanavir 200 mg capsule, 60 (Reyataz)
5612J ATAZANAVIR, atazanavir 300 mg capsule, 30 (Reyataz)
5653M DARUNAVIR, darunavir 150 mg tablet, 240 (Prezista)
3392M DARUNAVIR, darunavir 600 mg tablet, 60 (Prezista)
2980W DARUNAVIR, darunavir 800 mg tablet, 30 (Prezista)
5663C DIDANOSINE, didanosine 125 mg capsule: enteric, 30 (Videx EC)
5664D DIDANOSINE, didanosine 200 mg capsule: enteric, 30 (Videx EC)
5665E DIDANOSINE, didanosine 250 mg capsule: enteric, 30 (Videx EC)
5666F DIDANOSINE, didanosine 400 mg capsule: enteric, 30 (Videx EC)
10065R DOLUTEGRAVIR, dolutegravir 50 mg tablet, 30 (Tivicay)
10247H DOLUTEGRAVIR + ABACAVIR + LAMIVUDINE, dolutegravir 50 mg + abacavir 600 mg + lamivudine 300 mg tablet, 30 (Triumeq)
5707J EFAVIRENZ, efavirenz 30 mg/mL oral liquid, 180 mL (Stocrin)
5708K EFAVIRENZ, efavirenz 200 mg tablet, 90 (Stocrin)
5706H EFAVIRENZ, efavirenz 600 mg tablet, 30 (Stocrin)
5709L EMTRICITABINE, emtricitabine 200 mg capsule, 30 (Emtriva)
1491L EMTRICITABINE + RILPIVIRINE + TENOFOVIR, emtricitabine 200 mg + rilpivirine 25 mg + tenofovir disoproxil fumarate 300 mg tablet, 30 (Eviplera)
5710M ENFUVIRTIDE, enfuvirtide 90 mg injection [60 x 90 mg vials] (&) inert substance diluent [60 x 1.1 mL vials], 1 pack (Fuzeon)
5711N ENTECAVIR, entecavir monohydrate 500 microgram tablet, 30 (Baraclude)
5712P ENTECAVIR, entecavir monohydrate 1 mg tablet, 30 (Baraclude)
5084N ETRAVIRINE, etravirine 200 mg tablet, 60 (Intelence)
5745J FOSAMPRENAVIR, fosamprenavir 50 mg/mL oral liquid, 225 mL (Telzir)
5746K FOSAMPRENAVIR, fosamprenavir 700 mg tablet, 60 (Telzir)
5747L FOSCARNET, FOSCARNET SODIUM I.V. infusion 24 mg per mL, 250 mL bottle, 6 (Foscavir)
5752R INDINAVIR, indinavir 400 mg capsule, 180 (Crixivan 400 mg)
5771R LAMIVUDINE, lamivudine 5 mg/mL oral liquid, 240 mL (Zeffix)
5773W LAMIVUDINE, lamivudine 10 mg/mL oral liquid, 240 mL (3TC)
5770Q LAMIVUDINE, lamivudine 100 mg tablet, 28 (Zeffix, Zetlam)
5772T LAMIVUDINE, lamivudine 150 mg tablet, 60 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
5774X LAMIVUDINE, lamivudine 300 mg tablet, 30 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
5775Y LAMIVUDINE + ZIDOVUDINE, lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Combivir, Lamivudine 150 mg + Zidovudine 300 mg Alphapharm)
5789Q LOPINAVIR + RITONAVIR, lopinavir 400 mg/5 mL + ritonavir 100 mg/5 mL oral liquid, 60 mL (Kaletra)
5790R LOPINAVIR + RITONAVIR, lopinavir 100 mg + ritonavir 25 mg tablet, 60 (Kaletra)
5791T LOPINAVIR + RITONAVIR, lopinavir 200 mg + ritonavir 50 mg tablet, 120 (Kaletra)
5792W MARAVIROC, maraviroc 150 mg tablet, 60 (Celsentri)
5793X MARAVIROC, maraviroc 300 mg tablet, 60 (Celsentri)
9507J NEVIRAPINE, nevirapine 10 mg/mL oral liquid, 240 mL (Viramune)
9506H NEVIRAPINE, nevirapine 200 mg tablet, 60 (Nevipin, Nevirapine Alphapharm, Nevirapine RBX, Viramune)
1132N NEVIRAPINE, nevirapine 400 mg tablet: modified release, 30 tablets (Viramune XR)
2736B RALTEGRAVIR, raltegravir 25 mg tablet: chewable, 60 (Isentress)
2760G RALTEGRAVIR, raltegravir 100 mg tablet: chewable, 60 (Isentress)
9523F RALTEGRAVIR, raltegravir 400 mg tablet, 60 (Isentress)
1173R RILPIVIRINE, rilpivirine 25 mg tablet, 30 (Edurant)
9542F RITONAVIR, ritonavir 600 mg/7.5 mL oral liquid, 90 mL (Norvir)
9660K RITONAVIR, ritonavir 100 mg tablet, 30 (Norvir)
9545J SAQUINAVIR, saquinavir 500 mg tablet, 120 (Invirase)
9553T STAVUDINE, stavudine 20 mg capsule, 60 (Zerit)
9554W STAVUDINE, stavudine 30 mg capsule, 60 (Zerit)
9556Y STAVUDINE, stavudine 40 mg capsule, 60 (Zerit)
9562G TELBIVUDINE, telbivudine 600 mg tablet, 28 (Sebivo)
9563H TENOFOVIR, tenofovir disoproxil fumarate 300 mg tablet, 30 (Viread)
9564J TENOFOVIR + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (Truvada)
9565K TENOFOVIR + EMTRICITABINE + EFAVIRENZ, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + efavirenz 600 mg tablet, 30 (Atripla)
10088Y TENOFOVIR + EMTRICITABINE + ELVITEGRAVIR + COBICISTAT, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + elvitegravir 150 mg + cobicistat 150 mg tablet, 30 (Stribild)
9567M TIPRANAVIR, tipranavir 250 mg capsule, 120 (Aptivus)
9651Y ZIDOVUDINE, zidovudine 100 mg capsule, 100 (Retrovir)
9652B ZIDOVUDINE, zidovudine 250 mg capsule, 40 (Retrovir)
9570Q ZIDOVUDINE, zidovudine 50 mg/5 mL oral liquid, 200 mL (Retrovir)

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

5626D CLOZAPINE, clozapine 50 mg tablet, 100 (Clopine 50)
5627E CLOZAPINE, clozapine 200 mg tablet, 100 (Clopine 200)
5628F CLOZAPINE, clozapine 25 mg tablet, 100 (Clopine 25, Clozaril 25)
5629G CLOZAPINE, clozapine 100 mg tablet, 100 (Clopine 100, Clozaril 100)
5630H CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Clopine Suspension)
5749N GANCICLOVIR, ganciclovir 500 mg injection, 5 x 500 mg vials (Cymevene)
5759D INTERFERON ALFA-2A, interferon alfa-2a 3 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
5760E INTERFERON ALFA-2A, interferon alfa-2a 4.5 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
5761F INTERFERON ALFA-2A, interferon alfa-2a 6 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
5762G INTERFERON ALFA-2A, interferon alfa-2a 9 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
5763H INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
5764J INTERFERON ALFA-2B, interferon alfa-2b 30 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
5765K INTERFERON ALFA-2B, interferon alfa-2b 60 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
5766L INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/3 mL injection, 1 x 3 mL vial (Intron A)
5767M INTERFERON ALFA-2B, interferon alfa-2b 25 million international units/2.5 mL injection, 1 x 2.5 mL vial (Intron A)
5768N INTERFERON ALFA-2B, interferon alfa-2b 10 million international units/mL injection, 5 x 1 mL vials (Intron A)
9515T PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
9516W PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
9569P VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valcyte)
9655E VALGANCICLOVIR, valganciclovir 50 mg/mL oral liquid: powder for, 100 mL (Valcyte)

Alteration – Manufacturer Code

From To
5825N RevoladeELTROMBOPAG, eltrombopag 25 mg tablet, 28 GK NV
5826P RevoladeELTROMBOPAG, eltrombopag 50 mg tablet, 28 GK NV

Advance Notices - 1 August 2015

Deletion – Brand

5621W Sensipar, ANCINACALCET, cinacalcet 30 mg tablet, 28
5622X Sensipar, ANCINACALCET, cinacalcet 60 mg tablet, 28
5623Y Sensipar, ANCINACALCET, cinacalcet 90 mg tablet, 28
5661Y Desferal 2 g, NVDESFERRIOXAMINE, desferrioxamine mesylate 2 g injection, 1 x 2 g vial

 

Highly Specialised Drugs Program (Community Access)

Addition – Item

10356C ABACAVIR, abacavir 20 mg/mL oral liquid, 240 mL (Ziagen)
10294T ABACAVIR, abacavir 300 mg tablet, 60 (Ziagen)
10357D ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30 (Kivexa)
10305J ABACAVIR + LAMIVUDINE + ZIDOVUDINE, abacavir 300 mg + lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Trizivir)
10290N ADEFOVIR DIPIVOXIL, adefovir dipivoxil 10 mg tablet, 30 (APO-Adefovir, Hepsera)
10276W ATAZANAVIR, atazanavir 150 mg capsule, 60 (Reyataz)
10349Q ATAZANAVIR, atazanavir 200 mg capsule, 60 (Reyataz)
10321F ATAZANAVIR, atazanavir 300 mg capsule, 30 (Reyataz)
10341G CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Clopine Suspension)
10289M CLOZAPINE, clozapine 25 mg tablet, 100 (Clopine 25, Clozaril 25)
10302F CLOZAPINE, clozapine 50 mg tablet, 100 (Clopine 50)
10358E CLOZAPINE, clozapine 100 mg tablet, 100 (Clopine 100, Clozaril 100)
10288L CLOZAPINE, clozapine 200 mg tablet, 100 (Clopine 200)
10287K DARUNAVIR, darunavir 150 mg tablet, 240 (Prezista)
10329P DARUNAVIR, darunavir 600 mg tablet, 60 (Prezista)
10367P DARUNAVIR, darunavir 800 mg tablet, 30 (Prezista)
10350R DIDANOSINE, didanosine 125 mg capsule: enteric, 30 (Videx EC)
10351T DIDANOSINE, didanosine 200 mg capsule: enteric, 30 (Videx EC)
10364L DIDANOSINE, didanosine 250 mg capsule: enteric, 30 (Videx EC)
10313T DIDANOSINE, didanosine 400 mg capsule: enteric, 30 (Videx EC)
10283F DOLUTEGRAVIR, dolutegravir 50 mg tablet, 30 (Tivicay)
10345L DOLUTEGRAVIR + ABACAVIR + LAMIVUDINE, dolutegravir 50 mg + abacavir 600 mg + lamivudine 300 mg tablet, 30 (Triumeq)
10275T EFAVIRENZ, efavirenz 30 mg/mL oral liquid, 180 mL (Stocrin)
10336B EFAVIRENZ, efavirenz 200 mg tablet, 90 (Stocrin)
10366N EFAVIRENZ, efavirenz 600 mg tablet, 30 (Stocrin)
10274R EMTRICITABINE, emtricitabine 200 mg capsule, 30 (Emtriva)
10314W EMTRICITABINE + RILPIVIRINE + TENOFOVIR, emtricitabine 200 mg + rilpivirine 25 mg + tenofovir disoproxil fumarate 300 mg tablet, 30 (Eviplera)
10365M ENFUVIRTIDE, enfuvirtide 90 mg injection [60 x 90 mg vials] (&) inert substance diluent [60 x 1.1 mL vials], 1 pack (Fuzeon)
10279B ENTECAVIR, entecavir monohydrate 500 microgram tablet, 30 (Baraclude)
10353X ENTECAVIR, entecavir monohydrate 1 mg tablet, 30 (Baraclude)
10301E ETRAVIRINE, etravirine 200 mg tablet, 60 (Intelence)
10368Q FOSAMPRENAVIR, fosamprenavir 50 mg/mL oral liquid, 225 mL (Telzir)
10337C FOSAMPRENAVIR, fosamprenavir 700 mg tablet, 60 (Telzir)
10352W FOSCARNET, FOSCARNET SODIUM I.V. infusion 24 mg per mL, 250 mL bottle, 6 (Foscavir)
10328N GANCICLOVIR, ganciclovir 500 mg injection, 5 x 500 mg vials (Cymevene)
10363K INDINAVIR, indinavir 400 mg capsule, 180 (Crixivan 400 mg)
10317B INTERFERON ALFA-2A, interferon alfa-2a 3 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
10371W INTERFERON ALFA-2A, interferon alfa-2a 4.5 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
10354Y INTERFERON ALFA-2A, interferon alfa-2a 6 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
10369R INTERFERON ALFA-2A, interferon alfa-2a 9 million international units/0.5 mL injection, 1 x 0.5 mL syringe (Roferon-A)
10370T INTERFERON ALFA-2B, interferon alfa-2b 10 million international units/mL injection, 5 x 1 mL vials (Intron A)
10291P INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
10340F INTERFERON ALFA-2B, interferon alfa-2b 18 million international units/3 mL injection, 1 x 3 mL vial (Intron A)
10339E INTERFERON ALFA-2B, interferon alfa-2b 25 million international units/2.5 mL injection, 1 x 2.5 mL vial (Intron A)
10316Y INTERFERON ALFA-2B, interferon alfa-2b 30 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
10292Q INTERFERON ALFA-2B, interferon alfa-2b 60 million international units/1.2 mL injection, 1 x 1.2 mL cartridge (Intron A Redipen)
10338D LAMIVUDINE, lamivudine 5 mg/mL oral liquid, 240 mL (Zeffix)
10320E LAMIVUDINE, lamivudine 10 mg/mL oral liquid, 240 mL (3TC)
10315X LAMIVUDINE, lamivudine 100 mg tablet, 28 (Zeffix, Zetlam)
10348P LAMIVUDINE, lamivudine 150 mg tablet, 60 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
10311Q LAMIVUDINE, lamivudine 300 mg tablet, 30 (3TC, Lamivudine Alphapharm, Lamivudine RBX)
10284G LAMIVUDINE + ZIDOVUDINE, lamivudine 150 mg + zidovudine 300 mg tablet, 60 (Combivir, Lamivudine 150 mg + Zidovudine 300 mg Alphapharm)
10327M LOPINAVIR + RITONAVIR, lopinavir 400 mg/5 mL + ritonavir 100 mg/5 mL oral liquid, 60 mL (Kaletra)
10285H LOPINAVIR + RITONAVIR, lopinavir 100 mg + ritonavir 25 mg tablet, 60 (Kaletra)
10272P LOPINAVIR + RITONAVIR, lopinavir 200 mg + ritonavir 50 mg tablet, 120 (Kaletra)
10318C MARAVIROC, maraviroc 150 mg tablet, 60 (Celsentri)
10355B MARAVIROC, maraviroc 300 mg tablet, 60 (Celsentri)
10319D NEVIRAPINE, nevirapine 10 mg/mL oral liquid, 240 mL (Viramune)
10304H NEVIRAPINE, nevirapine 200 mg tablet, 60 (Nevipin, Nevirapine Alphapharm, Nevirapine RBX, Viramune)
10303G NEVIRAPINE, nevirapine 400 mg tablet: modified release, 30 tablets (Viramune XR)
10280C PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
10278Y PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
10299C RALTEGRAVIR, raltegravir 25 mg tablet: chewable, 60 (Isentress)
10326L RALTEGRAVIR, raltegravir 100 mg tablet: chewable, 60 (Isentress)
10286J RALTEGRAVIR, raltegravir 400 mg tablet, 60 (Isentress)
10298B RILPIVIRINE, rilpivirine 25 mg tablet, 30 (Edurant)
10300D RITONAVIR, ritonavir 600 mg/7.5 mL oral liquid, 90 mL (Norvir)
10273Q RITONAVIR, ritonavir 100 mg tablet, 30 (Norvir)
10335Y SAQUINAVIR, saquinavir 500 mg tablet, 120 (Invirase)
10325K STAVUDINE, stavudine 20 mg capsule, 60 (Zerit)
10271N STAVUDINE, stavudine 30 mg capsule, 60 (Zerit)
10312R STAVUDINE, stavudine 40 mg capsule, 60 (Zerit)
10372X TELBIVUDINE, telbivudine 600 mg tablet, 28 (Sebivo)
10310P TENOFOVIR, tenofovir disoproxil fumarate 300 mg tablet, 30 (Viread)
10347N TENOFOVIR + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (Truvada)
10297Y TENOFOVIR + EMTRICITABINE + EFAVIRENZ, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + efavirenz 600 mg tablet, 30 (Atripla)
10307L TENOFOVIR + EMTRICITABINE + ELVITEGRAVIR + COBICISTAT, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + elvitegravir 150 mg + cobicistat 150 mg tablet, 30 (Stribild)
10344K TIPRANAVIR, tipranavir 250 mg capsule, 120 (Aptivus)
10277X VALGANCICLOVIR, valganciclovir 50 mg/mL oral liquid: powder for, 100 mL (Valcyte)
10306K VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valcyte)
10266H ZIDOVUDINE, zidovudine 100 mg capsule, 100 (Retrovir)
10360G ZIDOVUDINE, zidovudine 250 mg capsule, 40 (Retrovir)
10361H ZIDOVUDINE, zidovudine 50 mg/5 mL oral liquid, 200 mL (Retrovir)

 

Botulinum Toxin Program

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

6103F BOTULINUM TOXIN TYPE A, botulinum toxin type A 100 units injection, 1 x 100 units vial (Botox)
1152P CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX, clostridium botulinum type A toxin-haemagglutinin complex 300 units injection, 1 x 300 units vial (Dysport)
6293F CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX, clostridium botulinum type A toxin-haemagglutinin complex 500 units injection, 1 x 500 units vial (Dysport)
10253P INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 mouse LD50 units injection, 1 x 100 mouse LD50 units vial (Xeomin)

 

IVF Program

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

9599F CETRORELIX, cetrorelix 250 microgram injection [1 x 250 microgram vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Cetrotide)
6182J CHORIOGONADOTROPIN ALFA, choriogonadotropin alfa 250 microgram/0.5 mL injection, 1 x 0.5 mL cartridge (Ovidrel)
9631X CHORIOGONADOTROPIN ALFA, choriogonadotropin alfa 250 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Ovidrel)
5816D CORIFOLLITROPIN ALFA, corifollitropin alfa 100 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Elonva)
5817E CORIFOLLITROPIN ALFA, corifollitropin alfa 150 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Elonva)
6431L FOLLITROPIN ALFA, follitropin alfa 300 international units / 0.5 mL (21.84 microgram/0.5 mL) injection, 1 x 0.5 mL cartridge (Gonal-f Pen)
6432M FOLLITROPIN ALFA, follitropin alfa 450 international units / 0.75 mL (32.76 microgram/0.75 mL) injection, 1 x 0.75 mL cartridge (Gonal-f Pen)
6433N FOLLITROPIN ALFA, follitropin alfa 900 international units / 1.5 mL (65.52 microgram/1.5 mL) injection, 1 x 1.5 mL cartridge (Gonal-f Pen)
6335K FOLLITROPIN BETA, follitropin beta 300 international units/0.36 mL injection, 1 x 0.36 mL cartridge (Puregon 300 IU/0.36 mL)
6336L FOLLITROPIN BETA, follitropin beta 600 international units/0.72 mL injection, 1 x 0.72 mL cartridge (Puregon 600 IU/0.72 mL)
6464F FOLLITROPIN BETA, follitropin beta 900 international units/1.08 mL injection, 1 x 1.08 mL cartridge (Puregon 900 IU/1.08 mL)
9583J GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Orgalutran)
9584K GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Orgalutran)
6178E GONADOTROPHIN CHORIONIC HUMAN, gonadotrophin chorionic human 1500 international units injection [3 x 1500 international units ampoules] (&) inert substance diluent [3 x 1 mL ampoules], 1 pack (Pregnyl)
6181H GONADOTROPHIN CHORIONIC HUMAN, gonadotrophin chorionic human 5000 international units injection [1 x 5000 international units ampoule] (&) inert substance diluent [1 x 1 mL ampoule], 1 pack (Pregnyl)
2036E GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 600 international units injection [1 x 600 international units vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Menopur 600)
2038G GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 1200 international units injection [1 x 1200 international units vial] (&) inert substance diluent [2 x 1 mL syringes], 1 pack (Menopur 1200)
5815C NAFARELIN, nafarelin 200 microgram/actuation nasal spray, 60 actuations (Synarel)
10116K PROGESTERONE, progesterone 100 mg pessary, 21 (Endometrin)
6366C PROGESTERONE, progesterone 8% vaginal gel, 15 applications (Crinone 8%)
9608Q PROGESTERONE, progesterone 100 mg pessary, 15 (Oripro)
9609R PROGESTERONE, progesterone 200 mg pessary, 15 (Oripro)

Alteration – Restriction Level

From To
9599F CETRORELIX, cetrorelix 250 microgram injection [1 x 250 microgram vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Cetrotide) restricted streamlined
6182J CHORIOGONADOTROPIN ALFA, choriogonadotropin alfa 250 microgram/0.5 mL injection, 1 x 0.5 mL cartridge (Ovidrel) restricted streamlined
9631X CHORIOGONADOTROPIN ALFA, choriogonadotropin alfa 250 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Ovidrel) restricted streamlined
5816D CORIFOLLITROPIN ALFA, corifollitropin alfa 100 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Elonva) restricted streamlined
5817E CORIFOLLITROPIN ALFA, corifollitropin alfa 150 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Elonva) restricted streamlined
6431L FOLLITROPIN ALFA, follitropin alfa 300 international units / 0.5 mL (21.84 microgram/0.5 mL) injection, 1 x 0.5 mL cartridge (Gonal-f Pen) restricted streamlined
6432M FOLLITROPIN ALFA, follitropin alfa 450 international units / 0.75 mL (32.76 microgram/0.75 mL) injection, 1 x 0.75 mL cartridge (Gonal-f Pen) restricted streamlined
6433N FOLLITROPIN ALFA, follitropin alfa 900 international units / 1.5 mL (65.52 microgram/1.5 mL) injection, 1 x 1.5 mL cartridge (Gonal-f Pen) restricted streamlined
6335K FOLLITROPIN BETA, follitropin beta 300 international units/0.36 mL injection, 1 x 0.36 mL cartridge (Puregon 300 IU/0.36 mL) restricted streamlined
6336L FOLLITROPIN BETA, follitropin beta 600 international units/0.72 mL injection, 1 x 0.72 mL cartridge (Puregon 600 IU/0.72 mL) restricted streamlined
6464F FOLLITROPIN BETA, follitropin beta 900 international units/1.08 mL injection, 1 x 1.08 mL cartridge (Puregon 900 IU/1.08 mL) restricted streamlined
9583J GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Orgalutran) restricted streamlined
9584K GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Orgalutran) restricted streamlined
6178E GONADOTROPHIN CHORIONIC HUMAN, gonadotrophin chorionic human 1500 international units injection [3 x 1500 international units ampoules] (&) inert substance diluent [3 x 1 mL ampoules], 1 pack (Pregnyl) restricted streamlined
6181H GONADOTROPHIN CHORIONIC HUMAN, gonadotrophin chorionic human 5000 international units injection [1 x 5000 international units ampoule] (&) inert substance diluent [1 x 1 mL ampoule], 1 pack (Pregnyl) restricted streamlined
2036E GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 600 international units injection [1 x 600 international units vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Menopur 600) restricted streamlined
2038G GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 1200 international units injection [1 x 1200 international units vial] (&) inert substance diluent [2 x 1 mL syringes], 1 pack (Menopur 1200) restricted streamlined
5815C NAFARELIN, nafarelin 200 microgram/actuation nasal spray, 60 actuations (Synarel) restricted streamlined
10116K PROGESTERONE, progesterone 100 mg pessary, 21 (Endometrin) restricted streamlined
6366C PROGESTERONE, progesterone 8% vaginal gel, 15 applications (Crinone 8%) restricted streamlined
9608Q PROGESTERONE, progesterone 100 mg pessary, 15 (Oripro) restricted streamlined
9609R PROGESTERONE, progesterone 200 mg pessary, 15 (Oripro) restricted streamlined

Alteration – Maximum Quantity

From To
9599F CETRORELIX, cetrorelix 250 microgram injection [1 x 250 microgram vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Cetrotide) 1 10
6431L FOLLITROPIN ALFA, follitropin alfa 300 international units / 0.5 mL (21.84 microgram/0.5 mL) injection, 1 x 0.5 mL cartridge (Gonal-f Pen) 1 2
6432M FOLLITROPIN ALFA, follitropin alfa 450 international units / 0.75 mL (32.76 microgram/0.75 mL) injection, 1 x 0.75 mL cartridge (Gonal-f Pen) 1 2
6433N FOLLITROPIN ALFA, follitropin alfa 900 international units / 1.5 mL (65.52 microgram/1.5 mL) injection, 1 x 1.5 mL cartridge (Gonal-f Pen) 1 5
6335K FOLLITROPIN BETA, follitropin beta 300 international units/0.36 mL injection, 1 x 0.36 mL cartridge (Puregon 300 IU/0.36 mL) 1 2
6336L FOLLITROPIN BETA, follitropin beta 600 international units/0.72 mL injection, 1 x 0.72 mL cartridge (Puregon 600 IU/0.72 mL) 1 4
6464F FOLLITROPIN BETA, follitropin beta 900 international units/1.08 mL injection, 1 x 1.08 mL cartridge (Puregon 900 IU/1.08 mL) 1 5
9583J GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 1 x 0.5 mL syringe (Orgalutran) 1 10
9584K GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Orgalutran) 1 2
6181H GONADOTROPHIN CHORIONIC HUMAN, gonadotrophin chorionic human 5000 international units injection [1 x 5000 international units ampoule] (&) inert substance diluent [1 x 1 mL ampoule], 1 pack (Pregnyl) 1 2
2036E GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 600 international units injection [1 x 600 international units vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Menopur 600) 1 3
2038G GONADOTROPHIN-MENOPAUSAL HUMAN, gonadotrophin-menopausal human 1200 international units injection [1 x 1200 international units vial] (&) inert substance diluent [2 x 1 mL syringes], 1 pack (Menopur 1200) 1 4
5815C NAFARELIN, nafarelin 200 microgram/actuation nasal spray, 60 actuations (Synarel) 1 2
10116K PROGESTERONE, progesterone 100 mg pessary, 21 (Endometrin) 1 2
6366C PROGESTERONE, progesterone 8% vaginal gel, 15 applications (Crinone 8%) 1 2
9608Q PROGESTERONE, progesterone 100 mg pessary, 15 (Oripro) 1 3
9609R PROGESTERONE, progesterone 200 mg pessary, 15 (Oripro) 1 3

 

Repatriation Pharmaceutical Benefits

Addition – Brand

4586J Sildenafil generichealth, GQSILDENAFIL, sildenafil 100 mg tablet, 4

Deletion – Item

4566H PODOPHYLLOTOXIN, podophyllotoxin 0.5% solution, 3.5 mL (Condyline Paint)

Deletion – Brand

4586J Sildenafil GH, GQSILDENAFIL, sildenafil 100 mg tablet, 4

Alteration – Brand Name

From
2194L FonatPLUS, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
To
2194L FonatPlus, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram tablet, 4
From
2224C FonatPLUS, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4
To
2224C FonatPlus, AFALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram tablet, 4

Advance Notices - 1 August 2015

Deletion – Brand

4592Q DBL Gabapentin, HHGABAPENTIN, gabapentin 300 mg capsule, 100
4593R DBL Gabapentin, HHGABAPENTIN, gabapentin 400 mg capsule, 100

 

 

Efficient Funding of Chemotherapy (Private Hospital)

Addition – Item

10268K PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10308M PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10334X PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10270M TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10296X TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10324J TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10281D TRASTUZUMAB EMTANSINE,
trastuzumab emtansine 100 mg injection, 1 x 100 mg vial (Kadcyla);
trastuzumab emtansine 160 mg injection, 1 x 160 mg vial (Kadcyla)

Alteration – Manufacturer Code

From To
10240Y ArzerraOFATUMUMAB, ofatumumab 100 mg/5 mL injection, 3 x 5 mL vials GK NV
10237T ArzerraOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial GK NV
10239X ArzerraOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial GK NV
7260D HycamtinTOPOTECAN, topotecan 4 mg injection, 5 x 4 mg vials GK NV

 

 

Efficient Funding of Chemotherapy (Public Hospital)

Addition – Item

10267J PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10309N PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10333W PERTUZUMAB,
pertuzumab 420 mg/14 mL injection, 1 x 14 mL vial (Perjeta)
10269L TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10346M TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10362J TRASTUZUMAB,
trastuzumab 60 mg injection, 1 x 60 mg vial (Herceptin);
trastuzumab 150 mg injection, 1 x 150 mg vial (Herceptin)
10282E TRASTUZUMAB EMTANSINE,
trastuzumab emtansine 100 mg injection, 1 x 100 mg vial (Kadcyla);
trastuzumab emtansine 160 mg injection, 1 x 160 mg vial (Kadcyla)

Alteration – Manufacturer Code

From To
10249K ArzerraOFATUMUMAB, ofatumumab 100 mg/5 mL injection, 3 x 5 mL vials GK NV
10236R ArzerraOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial GK NV
10252N ArzerraOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial GK NV
4617B HycamtinTOPOTECAN, topotecan 4 mg injection, 5 x 4 mg vials GK NV