Browse by Changes

General Pharmaceutical Benefits

Additions

Addition – Item

10466W AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan oral liquid: powder for, 500 g (XLYS, LOW TRY Maxamum)
10445R FEBUXOSTAT, febuxostat 80mg tablet, 28 (Adenuric)
10486X LISDEXAMFETAMINE, lisdexamfetamine dimesilate 30 mg capsule, 30 (Vyvanse)
10474G LISDEXAMFETAMINE, lisdexamfetamine dimesilate 50 mg capsule, 30 (Vyvanse)
10492F LISDEXAMFETAMINE, lisdexamfetamine dimesilate 70 mg capsule, 30 (Vyvanse)
10460M POSACONAZOLE, posaconazole 100 mg tablet: modified release, 24 (Noxafil)
10425Q SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL injection devices (Cosentyx)
10494H SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL injection devices (Cosentyx)
10459L SUNITINIB, sunitinib 37.5 mg capsule, 28 (Sutent)
10464R SUNITINIB, sunitinib 37.5 mg capsule, 28 (Sutent)
10473F SUNITINIB, sunitinib 37.5 mg capsule, 28 (Sutent)
10503T SUNITINIB, sunitinib 37.5 mg capsule, 28 (Sutent)
10504W SUNITINIB, sunitinib 37.5 mg capsule, 28 (Sutent)

Addition – Brand

8361C Capecitabine MYX, YNCAPECITABINE, capecitabine 150 mg tablet, 60
8362D Capecitabine MYX, YNCAPECITABINE, capecitabine 500 mg tablet, 120
8702B Talam, QACITALOPRAM, citalopram 10 mg tablet, 28
8703C Talam, QACITALOPRAM, citalopram 40 mg tablet, 28
8600P Esomeprazole GH, GQESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
8886Q Esomeprazole GH, GQESOMEPRAZOLE, esomeprazole 20 mg tablet: enteric, 30 tablets
3401B Esomeprazole GH, GQESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
8601Q Esomeprazole GH, GQESOMEPRAZOLE, esomeprazole 40 mg tablet: enteric, 30 tablets
1526H APO-Flucloxacillin, TXFLUCLOXACILLIN, flucloxacillin 250 mg capsule, 24
5090X APO-Flucloxacillin, TXFLUCLOXACILLIN, flucloxacillin 250 mg capsule, 24 (Dental)
1527J APO-Flucloxacillin, TXFLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24
5091Y APO-Flucloxacillin, TXFLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24 (Dental)
9169N Kerron, DOLEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL

Deletions

Deletion – Item

5514F FLURBIPROFEN, flurbiprofen sodium 0.03% (120 microgram/0.4 mL) eye drops, 5 x 0.4 mL ampoules (Ocufen) (Optometrical)
8699W FLURBIPROFEN, flurbiprofen sodium 0.03% (120 microgram/0.4 mL) eye drops, 5 x 0.4 mL ampoules (Ocufen)
9485F GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 50 (Lifeline Attest)
9486G GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 50 (Lifeline Attest)
10141R GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100 (EasyMate II)
10145Y GLUCOSE INDICATOR BLOOD, glucose indicator blood strip: diagnostic, 100 (EasyMate II)
3064G LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1 (Actilax, Dulose)
8834Y METHYLPREDNISOLONE, methylprednisolone 1 g injection [1 x 1 g vial] (&) inert substance diluent [1 x 16 mL vial], 1 pack (Solu-Medrol)
8209C PAMIDRONATE DISODIUM, pamidronate disodium 30 mg injection [2 x 30 mg vials] (&) inert substance diluent [2 x 10 mL ampoules], 1 pack (Aredia 30 mg)
2476H RIVASTIGMINE, rivastigmine 2 mg/mL oral liquid, 120 mL (Exelon)
8563Q RIVASTIGMINE, rivastigmine 2 mg/mL oral liquid, 120 mL (Exelon)

Deletion – Brand

1052J Acihexal, SZACICLOVIR, aciclovir 800 mg tablet, 35
8234J Acihexal, SZACICLOVIR, aciclovir 800 mg tablet, 120

Deletion – Equivalence Indicator

8234J Acyclo-V 800, AFACICLOVIR, aciclovir 800 mg tablet, 120
8462J Pamisol, HHPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial

Alterations

Alteration – Restriction

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

8357W ACAMPROSATE, acamprosate calcium 333 mg tablet: enteric, 180 tablets (Campral)
9425C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9426D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
9427E ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9428F ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
3016R AMANTADINE, amantadine hydrochloride 100 mg capsule, 100 (Symmetrel 100)
2646G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan oral liquid: powder for, 500 g (XLYS, LOW TRY Maxamaid)
2650L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan oral liquid: powder for, 400 g (GA1 Anamix infant)
5484P AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan oral liquid: powder for, 30 x 25 g sachets (GA express 15)
9438R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan oral liquid: powder for, 30 x 24 g sachets (GA gel)
8604W BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28 (APO-Bisoprolol, Beprol 2.5, Bicard 2.5, Bicor, Biso 2.5, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 2.5, Chem mart Bisoprolol, Terry White Chemists Bisoprolol)
8605X BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28 (APO-Bisoprolol, Beprol 5, Bicard 5, Bicor, Biso 5, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 5, Chem mart Bisoprolol, Terry White Chemists Bisoprolol)
8606Y BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28 (APO-Bisoprolol, Beprol 10, Bicard 10, Bicor, Biso 10, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 10, Chem mart Bisoprolol, Terry White Chemists Bisoprolol)
1443Y BROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30 (Parlodel)
1444B BROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30 (Kripton 2.5, Parlodel)
1559C BROMOCRIPTINE, bromocriptine 2.5 mg tablet, 60 (Kripton 2.5)
8114C CABERGOLINE, cabergoline 500 microgram tablet, 8 (Dostan, Dostinex)
8115D CABERGOLINE, cabergoline 500 microgram tablet, 2 (Dostan, Dostinex)
8393R CABERGOLINE, cabergoline 1 mg tablet, 30 (Cabaser, Cobasol)
8394T CABERGOLINE, cabergoline 2 mg tablet, 30 (Cabaser, Cobasol)
2502Q CALCITRIOL, calcitriol 0.25 microgram capsule, 100 (Calciprox, Calcitriol AN, Calcitriol Sandoz, Calcitriol-GA, GenRx Calcitriol, Kosteo, Rocaltrol, Sical)
8255L CARVEDILOL, carvedilol 3.125 mg tablet, 30 (APO-Carvedilol, Carvedilol AN, Chem mart Carvedilol 3.125 mg, Dilatrend 3.125, GN-Carvedilol, Terry White Chemists Carvedilol 3.125 mg, Vedilol 3.125, Volirop 3.125)
8256M CARVEDILOL, carvedilol 6.25 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 6.25 mg, Dicarz, Dilatrend 6.25, GN-Carvedilol, Terry White Chemists Carvedilol 6.25 mg, Vedilol 6.25, Volirop 6.25)
8257N CARVEDILOL, carvedilol 12.5 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 12.5 mg, Dicarz, Dilatrend 12.5, GN-Carvedilol, Terry White Chemists Carvedilol 12.5 mg, Vedilol 12.5, Volirop 12.5)
8258P CARVEDILOL, carvedilol 25 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 25 mg, Dicarz, Dilatrend 25, GN-Carvedilol, Terry White Chemists Carvedilol 25 mg, Vedilol 25, Volirop 25)
8220P CITALOPRAM, citalopram 20 mg tablet, 28 (APO-Citalopram, Auro-Citalopram 20, Celapram, Celica, Chem mart Citalopram, Ciazil, Cipramil, Citalopram AN, Citalopram Actavis, Citalopram Sandoz, Citalopram generichealth, Citalopram-GA, Pharmacor Citalo 20, Talam, Terry White Chemists Citalopram)
8702B CITALOPRAM, citalopram 10 mg tablet, 28 (Celapram, Citalopram Actavis, Citalopram-GA, Talam)
8703C CITALOPRAM, citalopram 40 mg tablet, 28 (APO-Citalopram, Auro-Citalopram 40, Celapram, Citalopram AN, Citalopram Actavis, Citalopram Sandoz, Citalopram-GA, Talam)
2129C DESMOPRESSIN, desmopressin acetate 100 microgram/mL nasal drops, 2.5 mL (Minirin)
8662X DESMOPRESSIN, desmopressin acetate 200 microgram tablet, 30 (Minirin)
8663Y DESMOPRESSIN, desmopressin acetate 200 microgram tablet, 30 (Minirin)
8711L DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 60 actuations (Minirin Nasal Spray)
8712M DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 60 actuations (Minirin Nasal Spray)
8975J DESMOPRESSIN, desmopressin 240 microgram wafer: sublingual, 30 (Minirin Melt)
9398P DESMOPRESSIN, desmopressin 120 microgram wafer: sublingual, 30 (Minirin Melt)
5096F DICLOXACILLIN, dicloxacillin 250 mg capsule, 24 (Distaph 250) (Dental)
5097G DICLOXACILLIN, dicloxacillin 500 mg capsule, 24 (Distaph 500) (Dental)
8121K DICLOXACILLIN, dicloxacillin 250 mg capsule, 24 (Distaph 250)
8122L DICLOXACILLIN, dicloxacillin 500 mg capsule, 24 (Distaph 500)
5290K ELETRIPTAN, eletriptan 40 mg tablet, 4 (Relpax)
5291L ELETRIPTAN, eletriptan 80 mg tablet, 4 (Relpax)
8367J ENTACAPONE, entacapone 200 mg tablet, 100 (Comtan)
9037P ETANERCEPT, etanercept 25 mg injection [4 x 25 mg vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
9091L ETANERCEPT, ETANERCEPT Injections 50 mg in 1 mL single use pre-filled syringes, 4, 1 (Enbrel)
9429G ETANERCEPT, etanercept 25 mg injection [4 x 25 mg vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
9431J ETANERCEPT, ETANERCEPT Injections 50 mg in 1 mL single use pre-filled syringes, 4, 1 (Enbrel)
9461Y ETANERCEPT, ETANERCEPT Injection 50 mg in 1 mL single use auto-injector, 4, 1 (Enbrel)
9462B ETANERCEPT, ETANERCEPT Injection 50 mg in 1 mL single use auto-injector, 4, 1 (Enbrel)
1524F FLUCLOXACILLIN, flucloxacillin 500 mg injection, 5 x 500 mg vials (Flubiclox, Flucil)
1525G FLUCLOXACILLIN, flucloxacillin 1 g injection, 5 x 1 g vials (Flubiclox, Flucil, Hospira Pty Limited)
1526H FLUCLOXACILLIN, flucloxacillin 250 mg capsule, 24 (APO-Flucloxacillin, Flopen, Staphylex 250)
1527J FLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24 (APO-Flucloxacillin, Flopen, Staphylex 500)
5090X FLUCLOXACILLIN, flucloxacillin 250 mg capsule, 24 (APO-Flucloxacillin, Flopen, Staphylex 250) (Dental)
5091Y FLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24 (APO-Flucloxacillin, Flopen, Staphylex 500) (Dental)
5094D FLUCLOXACILLIN, flucloxacillin 500 mg injection, 5 x 500 mg vials (Flubiclox, Flucil) (Dental)
5095E FLUCLOXACILLIN, flucloxacillin 1 g injection, 5 x 1 g vials (Flubiclox, Flucil, Hospira Pty Limited) (Dental)
5257Q FLUCLOXACILLIN, flucloxacillin 125 mg/5 mL oral liquid: powder for, 100 mL (Flucil) (Dental)
5258R FLUCLOXACILLIN, flucloxacillin 250 mg/5 mL oral liquid: powder for, 100 mL (Flucil) (Dental)
9149M FLUCLOXACILLIN, flucloxacillin 125 mg/5 mL oral liquid: powder for, 100 mL (Flucil)
9150N FLUCLOXACILLIN, flucloxacillin 250 mg/5 mL oral liquid: powder for, 100 mL (Flucil)
1834M GABAPENTIN, gabapentin 300 mg capsule, 100 (Gabacor, Gabapentin Aspen 300, Gabapentin GH, Gabapentin Sandoz, Gabapentin-GA, Gantin, GenRx Gabapentin, Neurontin, Nupentin 300)
1835N GABAPENTIN, gabapentin 400 mg capsule, 100 (Gabacor, Gabapentin Aspen 400, Gabapentin GH, Gabapentin Sandoz, Gantin, GenRx Gabapentin, Neurontin, Nupentin 400)
8389M GABAPENTIN, gabapentin 800 mg tablet, 100 (Gabapentin AN, Gabapentin Aspen 800, Gabaran, Gantin, GenRx Gabapentin, Neurontin, Nupentin Tabs, Pharmacor Gabapentin 800)
8505P GABAPENTIN, gabapentin 100 mg capsule, 100 (APO-Gabapentin, Gabacor, Gabapentin Aspen 100, Neurontin, Nupentin 100)
8559L GABAPENTIN, gabapentin 600 mg tablet, 100 (Gabapentin AN, Gabapentin Aspen 600, Gabaran, GenRx Gabapentin, Neurontin, Nupentin Tabs, Pharmacor Gabapentin 600)
9040T INSULIN DETEMIR, insulin detemir 100 international units/mL injection, 5 x 3 mL cartridges (Levemir FlexPen, Levemir Penfill)
2549E ISOTRETINOIN, isotretinoin 40 mg capsule, 30 (Dermatane, Oratane)
2591J ISOTRETINOIN, isotretinoin 10 mg capsule, 60 (APO-Isotretinoin, Dermatane, Isotretinoin AN, Isotretinoin SCP 10, Oratane, Roaccutane, Rocta 10)
2592K ISOTRETINOIN, isotretinoin 20 mg capsule, 60 (APO-Isotretinoin, Dermatane, Isotretinoin AN, Isotretinoin SCP 20, Oratane, Roaccutane, Rocta 20)
2848X LAMOTRIGINE, lamotrigine 25 mg tablet, 56 (APO-Lamotrigine, GenRx Lamotrigine, Lamictal, Lamidus, Lamogine, Lamotrigine AN, Lamotrigine Aspen 25, Lamotrigine Sandoz, Lamotrigine generichealth, Lamotrigine-GA, Lamotrust 25, Logem, Reedos 25, Seaze 25, Torlemo DT 25)
2849Y LAMOTRIGINE, lamotrigine 50 mg tablet, 56 (APO-Lamotrigine, GenRx Lamotrigine, Lamictal, Lamidus, Lamogine, Lamotrigine AN, Lamotrigine Aspen 50, Lamotrigine Sandoz, Lamotrigine generichealth, Lamotrigine-GA, Lamotrust 50, Logem, Reedos 50, Seaze 50, Torlemo DT 50)
2850B LAMOTRIGINE, lamotrigine 100 mg tablet, 56 (APO-Lamotrigine, GenRx Lamotrigine, Lamictal, Lamidus, Lamogine, Lamotrigine AN, Lamotrigine Aspen 100, Lamotrigine Sandoz, Lamotrigine generichealth, Lamotrigine-GA, Lamotrust 100, Logem, Reedos 100, Seaze 100, Torlemo DT 100)
2851C LAMOTRIGINE, lamotrigine 200 mg tablet, 56 (APO-Lamotrigine, GenRx Lamotrigine, Lamictal, Lamidus, Lamogine, Lamotrigine AN, Lamotrigine Aspen 200, Lamotrigine Sandoz, Lamotrigine generichealth, Lamotrigine-GA, Lamotrust 200, Logem, Reedos 200, Seaze 200, Torlemo DT 200)
8063J LAMOTRIGINE, lamotrigine 5 mg tablet, 56 (Lamictal, Lamogine, Lamotrigine Aspen 5, Seaze 5)
8654L LEVETIRACETAM, levetiracetam 250 mg tablet, 60 (APO-Levetiracetam, Chem mart Levetiracetam, Kepcet, Keppra, Kerron 250, Kevtam, Levactam, Levecetam 250, Levetiracetam AN, Levetiracetam SZ, Levetiracetam generichealth, Levi 250, Levitaccord, Levitam 250, Terry White Chemists Levetiracetam)
8655M LEVETIRACETAM, levetiracetam 500 mg tablet, 60 (APO-Levetiracetam, Chem mart Levetiracetam, Kepcet, Keppra, Kerron 500, Kevtam, Levactam, Levecetam 500, Levetiracetam AN, Levetiracetam SZ, Levetiracetam generichealth, Levi 500, Levitaccord, Levitam 500, Terry White Chemists Levetiracetam)
8656N LEVETIRACETAM, levetiracetam 1 g tablet, 60 (APO-Levetiracetam, Chem mart Levetiracetam, Kepcet, Keppra, Kerron 1000, Kevtam, Levactam, Levecetam 1000, Levetiracetam AN, Levetiracetam SZ, Levetiracetam generichealth, Levi 1000, Levitaccord, Levitam 1000, Terry White Chemists Levetiracetam)
9169N LEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL (Keppra, Kerron, Levetiracetam-AFT)
1255C LEVODOPA + CARBIDOPA ANHYDROUS, levodopa 200 mg + carbidopa anhydrous 50 mg tablet: modified release, 100 tablets (Sinemet CR)
8797B LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 50 mg + carbidopa anhydrous 12.5 mg + entacapone 200 mg tablet, 100 (Stalevo 50/12.5/200mg)
8798C LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 100 mg + carbidopa anhydrous 25 mg + entacapone 200 mg tablet, 100 (Stalevo 100/25/200mg)
8799D LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 150 mg + carbidopa anhydrous 37.5 mg + entacapone 200 mg tablet, 100 (Stalevo 150/37.5/200mg)
9292C LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 200 mg + carbidopa anhydrous 50 mg + entacapone 200 mg tablet, 100 (Stalevo 200/50/200mg)
9344T LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 75 mg + carbidopa anhydrous 18.75 mg + entacapone 200 mg tablet, 100 (Stalevo 75/18.75/200mg)
9345W LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 125 mg + carbidopa anhydrous 31.25 mg + entacapone 200 mg tablet, 100 (Stalevo 125/31.25/200mg)
8633J LEVONORGESTREL, levonorgestrel 52 mg drug delivery system: intrauterine, 1 system (Mirena)
5146W MAGNESIUM ASPARTATE DIHYDRATE, magnesium aspartate dihydrate 500 mg (equivalent to 37.4 mg of magnesium) tablet, 50 (Mag-Sup, MagMin (PBS))
5264C METHYLPREDNISOLONE, methylprednisolone Powder for injection 1 g (as sodium succinate), 1 (Methylpred, Methylprednisolone Alphapharm, Solu-Medrol)
8732N METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 23.75 mg (controlled release), 15 (Metrol-XL 23.75, Minax XL, Toprol-XL 23.75)
8733P METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 47.5 mg (controlled release), 30 (Metrol-XL 47.5, Minax XL, Toprol-XL 47.5)
8734Q METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 95 mg (controlled release), 30 (Metrol-XL 95, Minax XL, Toprol-XL 95)
8735R METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 190 mg (controlled release), 30 (Metrol-XL 190, Minax XL, Toprol-XL 190)
2313R MINOXIDIL, minoxidil 10 mg tablet, 100 (Loniten)
2962X NAFARELIN, nafarelin 200 microgram/actuation nasal spray, 60 actuations (Synarel)
8370M NALTREXONE, naltrexone hydrochloride 50 mg tablet, 30 (Naltrexone GH, ReVia)
1671Y NANDROLONE DECANOATE, nandrolone decanoate 50 mg/mL injection, 1 x 1 mL syringe (Deca-Durabolin)
9311C NEBIVOLOL, nebivolol 5 mg tablet, 28 (Nebilet)
9312D NEBIVOLOL, nebivolol 10 mg tablet, 28 (Nebilet)
9316H NEBIVOLOL, nebivolol 1.25 mg tablet, 28 (Nebilet)
10076H NICOTINE, nicotine 25 mg/16 hours patch, 28 (nicorette 16hr Invisipatch)
3414Q NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicotinell Step 1)
5465P NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicabate P)
5571F NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicotinell Step 1)
5572G NICOTINE, nicotine 14 mg/24 hours patch, 28 (Nicotinell Step 2)
5573H NICOTINE, nicotine 7 mg/24 hours patch, 28 (Nicotinell Step 3)
8584T OXCARBAZEPINE, oxcarbazepine 150 mg tablet, 100 (Trileptal)
8585W OXCARBAZEPINE, oxcarbazepine 300 mg tablet, 100 (Trileptal)
8586X OXCARBAZEPINE, oxcarbazepine 600 mg tablet, 100 (Trileptal)
8588B OXCARBAZEPINE, oxcarbazepine 60 mg/mL oral liquid, 250 mL (Trileptal)
8462J PAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial (Pamisol)
3418X PRAMIPEXOLE, pramipexole hydrochloride monohydrate 375 microgram tablet: modified release, 30 tablets (Sifrol ER)
3419Y PRAMIPEXOLE, pramipexole hydrochloride monohydrate 750 microgram tablet: modified release, 30 tablets (Sifrol ER)
3420B PRAMIPEXOLE, pramipexole hydrochloride monohydrate 1.5 mg tablet: modified release, 30 tablets (Sifrol ER)
3421C PRAMIPEXOLE, pramipexole hydrochloride monohydrate 3 mg tablet: modified release, 30 tablets (Sifrol ER)
3422D PRAMIPEXOLE, pramipexole hydrochloride monohydrate 4.5 mg tablet: modified release, 30 tablets (Sifrol ER)
5143Q PRAMIPEXOLE, pramipexole hydrochloride monohydrate 2.25 mg tablet: modified release, 30 tablets (Sifrol ER)
5145T PRAMIPEXOLE, pramipexole hydrochloride monohydrate 3.75 mg tablet: modified release, 30 tablets (Sifrol ER)
9151P PRAMIPEXOLE, pramipexole hydrochloride monohydrate 125 microgram tablet, 30 (APO-Pramipexole, Pramipexole AN, Pramipexole GH, Sifrol, Simipex 0.125, Simpral)
9152Q PRAMIPEXOLE, pramipexole hydrochloride monohydrate 250 microgram tablet, 100 (APO-Pramipexole, Pramipexole AN, Pramipexole GH, Sifrol, Simipex 0.25, Simpral)
9153R PRAMIPEXOLE, pramipexole hydrochloride monohydrate 1 mg tablet, 100 (APO-Pramipexole, Pramipexole AN, Pramipexole GH, Sifrol, Simipex 1, Simpral)
9393J PRAMIPEXOLE, pramipexole hydrochloride monohydrate 125 microgram tablet, 30 (Sifrol)
9394K PRAMIPEXOLE, pramipexole hydrochloride monohydrate 250 microgram tablet, 100 (Sifrol)
8822H QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac)
8860H QUINAGOLIDE, quinagolide 25 microgram tablet [3 tablets] (&) quinagolide 50 microgram tablet [3 tablets], 6 (Norprolac)
1952R RASAGILINE, RASAGILINE Tablet 1 mg (as mesilate), 30 (Azilect)
8664B RILUZOLE, riluzole 50 mg tablet, 56 (APO-Riluzole, Pharmacor Riluzole, Rilutek, Riluzole Sandoz)
9313E RIZATRIPTAN, rizatriptan 10 mg wafer, 2 (Maxalt)
2997R SALCATONIN, salcatonin 100 international units/mL injection, 5 x 1 mL ampoules (Miacalcic 100)
1973W SELEGILINE, selegiline hydrochloride 5 mg tablet, 100 (Eldepryl, Selgene)
1849H SUMATRIPTAN, sumatriptan 50 mg tablet, 4 (APO-Sumatriptan, Chem mart Sumatriptan, Iptam, Pharmacor Sumatriptan 50, Sumatran, Sumatriptan AN, Sumatriptan RBX, Sumatriptan Sandoz, Sumatriptan generichealth, Sumatriptan-GA, Terry White Chemists Sumatriptan)
8144P SUMATRIPTAN, SUMATRIPTAN Tablet 50 mg (as succinate), 2 (APO-Sumatriptan, Chem mart Sumatriptan, Imigran, Iptam, Sumagran Aspen 50, Sumatab, Sumatran, Sumatriptan Sandoz, Terry White Chemists Sumatriptan)
8341B SUMATRIPTAN, sumatriptan 20 mg/actuation nasal spray, 2 actuations (Imigran)
8885P SUMATRIPTAN, SUMATRIPTAN Tablet (fast disintegrating) 50 mg (as succinate), 2 (Imigran FDT)
9488J SUNITINIB, sunitinib 12.5 mg capsule, 28 (Sutent)
9489K SUNITINIB, sunitinib 25 mg capsule, 28 (Sutent)
9490L SUNITINIB, sunitinib 50 mg capsule, 28 (Sutent)
1330B TETRABENAZINE, tetrabenazine 25 mg tablet, 112 (iNova Pharmaceuticals (Australia) Pty Ltd)
1070H THIAMINE, thiamine hydrochloride 100 mg tablet, 100 (Betavit)
2700D THYROTROPIN ALFA, thyrotropin alfa 900 microgram injection, 2 x 900 microgram vials (Thyrogen)
8163P TOPIRAMATE, topiramate 25 mg tablet, 60 (APO-Topiramate, Epiramax 25, RBX Topiramate, Tamate, Topamax, Topiramate AN, Topiramate GH, Topiramate Sandoz)
8164Q TOPIRAMATE, topiramate 50 mg tablet, 60 (APO-Topiramate, Epiramax 50, RBX Topiramate, Tamate, Topamax, Topiramate AN, Topiramate GH, Topiramate Sandoz)
8165R TOPIRAMATE, topiramate 100 mg tablet, 60 (APO-Topiramate, Epiramax 100, RBX Topiramate, Tamate, Topamax, Topiramate AN, Topiramate GH, Topiramate Sandoz)
8166T TOPIRAMATE, topiramate 200 mg tablet, 60 (APO-Topiramate, Epiramax 200, RBX Topiramate, Tamate, Topamax, Topiramate AN, Topiramate GH, Topiramate Sandoz)
8371N TOPIRAMATE, topiramate 15 mg capsule, 60 (Topamax Sprinkle)
8372P TOPIRAMATE, topiramate 25 mg capsule, 60 (Topamax Sprinkle)
8520K TOPIRAMATE, topiramate 50 mg capsule, 60 (Topamax Sprinkle)
9304Q USTEKINUMAB, ustekinumab 45 mg/0.5 mL injection, 1 x 0.5 mL vial (Stelara)
9305R USTEKINUMAB, ustekinumab 45 mg/0.5 mL injection, 1 x 0.5 mL vial (Stelara)
9388D ZONISAMIDE, zonisamide 25 mg capsule, 56 (Zonegran)
9389E ZONISAMIDE, zonisamide 50 mg capsule, 56 (Zonegran)
9390F ZONISAMIDE, zonisamide 100 mg capsule, 56 (Zonegran)

Alteration – Restriction Level

From To
8604W BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28 (APO-Bisoprolol, Beprol 2.5, Bicard 2.5, Bicor, Biso 2.5, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 2.5, Chem mart Bisoprolol, Terry White Chemists Bisoprolol) streamlined restricted
8605X BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28 (APO-Bisoprolol, Beprol 5, Bicard 5, Bicor, Biso 5, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 5, Chem mart Bisoprolol, Terry White Chemists Bisoprolol) streamlined restricted
8606Y BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28 (APO-Bisoprolol, Beprol 10, Bicard 10, Bicor, Biso 10, Bisoprolol AN, Bisoprolol Sandoz, Bisoprolol generichealth, Bispro 10, Chem mart Bisoprolol, Terry White Chemists Bisoprolol) streamlined restricted
8114C CABERGOLINE, cabergoline 500 microgram tablet, 8 (Dostan, Dostinex) streamlined restricted
8255L CARVEDILOL, carvedilol 3.125 mg tablet, 30 (APO-Carvedilol, Carvedilol AN, Chem mart Carvedilol 3.125 mg, Dilatrend 3.125, GN-Carvedilol, Terry White Chemists Carvedilol 3.125 mg, Vedilol 3.125, Volirop 3.125) streamlined restricted
8256M CARVEDILOL, carvedilol 6.25 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 6.25 mg, Dicarz, Dilatrend 6.25, GN-Carvedilol, Terry White Chemists Carvedilol 6.25 mg, Vedilol 6.25, Volirop 6.25) streamlined restricted
8257N CARVEDILOL, carvedilol 12.5 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 12.5 mg, Dicarz, Dilatrend 12.5, GN-Carvedilol, Terry White Chemists Carvedilol 12.5 mg, Vedilol 12.5, Volirop 12.5) streamlined restricted
8258P CARVEDILOL, carvedilol 25 mg tablet, 60 (APO-Carvedilol, Carvedilol AN, Carvedilol Sandoz, Carvedilol generichealth, Chem mart Carvedilol 25 mg, Dicarz, Dilatrend 25, GN-Carvedilol, Terry White Chemists Carvedilol 25 mg, Vedilol 25, Volirop 25) streamlined restricted
5290K ELETRIPTAN, eletriptan 40 mg tablet, 4 (Relpax) streamlined restricted
5291L ELETRIPTAN, eletriptan 80 mg tablet, 4 (Relpax) streamlined restricted
8367J ENTACAPONE, entacapone 200 mg tablet, 100 (Comtan) streamlined restricted
1255C LEVODOPA + CARBIDOPA ANHYDROUS, levodopa 200 mg + carbidopa anhydrous 50 mg tablet: modified release, 100 tablets (Sinemet CR) streamlined restricted
8797B LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 50 mg + carbidopa anhydrous 12.5 mg + entacapone 200 mg tablet, 100 (Stalevo 50/12.5/200mg) streamlined restricted
8798C LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 100 mg + carbidopa anhydrous 25 mg + entacapone 200 mg tablet, 100 (Stalevo 100/25/200mg) streamlined restricted
8799D LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 150 mg + carbidopa anhydrous 37.5 mg + entacapone 200 mg tablet, 100 (Stalevo 150/37.5/200mg) streamlined restricted
9292C LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 200 mg + carbidopa anhydrous 50 mg + entacapone 200 mg tablet, 100 (Stalevo 200/50/200mg) streamlined restricted
9344T LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 75 mg + carbidopa anhydrous 18.75 mg + entacapone 200 mg tablet, 100 (Stalevo 75/18.75/200mg) streamlined restricted
9345W LEVODOPA + CARBIDOPA ANHYDROUS + ENTACAPONE, levodopa 125 mg + carbidopa anhydrous 31.25 mg + entacapone 200 mg tablet, 100 (Stalevo 125/31.25/200mg) streamlined restricted
8732N METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 23.75 mg (controlled release), 15 (Metrol-XL 23.75, Minax XL, Toprol-XL 23.75) streamlined restricted
8733P METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 47.5 mg (controlled release), 30 (Metrol-XL 47.5, Minax XL, Toprol-XL 47.5) streamlined restricted
8734Q METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 95 mg (controlled release), 30 (Metrol-XL 95, Minax XL, Toprol-XL 95) streamlined restricted
8735R METOPROLOL SUCCINATE, METOPROLOL SUCCINATE Tablet 190 mg (controlled release), 30 (Metrol-XL 190, Minax XL, Toprol-XL 190) streamlined restricted
2313R MINOXIDIL, minoxidil 10 mg tablet, 100 (Loniten) streamlined restricted
9311C NEBIVOLOL, nebivolol 5 mg tablet, 28 (Nebilet) streamlined restricted
9312D NEBIVOLOL, nebivolol 10 mg tablet, 28 (Nebilet) streamlined restricted
9316H NEBIVOLOL, nebivolol 1.25 mg tablet, 28 (Nebilet) streamlined restricted
10076H NICOTINE, nicotine 25 mg/16 hours patch, 28 (nicorette 16hr Invisipatch) streamlined restricted
3414Q NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicotinell Step 1) streamlined restricted
5465P NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicabate P) streamlined restricted
5571F NICOTINE, nicotine 21 mg/24 hours patch, 28 (Nicotinell Step 1) streamlined restricted
5572G NICOTINE, nicotine 14 mg/24 hours patch, 28 (Nicotinell Step 2) streamlined restricted
5573H NICOTINE, nicotine 7 mg/24 hours patch, 28 (Nicotinell Step 3) streamlined restricted
8822H QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac) streamlined restricted
8860H QUINAGOLIDE, quinagolide 25 microgram tablet [3 tablets] (&) quinagolide 50 microgram tablet [3 tablets], 6 (Norprolac) streamlined restricted
1952R RASAGILINE, RASAGILINE Tablet 1 mg (as mesilate), 30 (Azilect) streamlined restricted
9313E RIZATRIPTAN, rizatriptan 10 mg wafer, 2 (Maxalt) streamlined restricted
2997R SALCATONIN, salcatonin 100 international units/mL injection, 5 x 1 mL ampoules (Miacalcic 100) streamlined restricted
1849H SUMATRIPTAN, sumatriptan 50 mg tablet, 4 (APO-Sumatriptan, Chem mart Sumatriptan, Iptam, Pharmacor Sumatriptan 50, Sumatran, Sumatriptan AN, Sumatriptan RBX, Sumatriptan Sandoz, Sumatriptan generichealth, Sumatriptan-GA, Terry White Chemists Sumatriptan) streamlined restricted
8144P SUMATRIPTAN, SUMATRIPTAN Tablet 50 mg (as succinate), 2 (APO-Sumatriptan, Chem mart Sumatriptan, Imigran, Iptam, Sumagran Aspen 50, Sumatab, Sumatran, Sumatriptan Sandoz, Terry White Chemists Sumatriptan) streamlined restricted
8341B SUMATRIPTAN, sumatriptan 20 mg/actuation nasal spray, 2 actuations (Imigran) streamlined restricted
8885P SUMATRIPTAN, SUMATRIPTAN Tablet (fast disintegrating) 50 mg (as succinate), 2 (Imigran FDT) streamlined restricted
2700D THYROTROPIN ALFA, thyrotropin alfa 900 microgram injection, 2 x 900 microgram vials (Thyrogen) streamlined restricted

Alteration – Manufacturer Code

From To
8216K FarestonTOREMIFENE, toremifene 60 mg tablet, 30 MK AS

Advance Notices

1 October 2015

Deletion – Brand

8465M Prexaton, GNBUPROPION, bupropion hydrochloride 150 mg tablet: modified release, 30 tablets
8710K Prexaton, GNBUPROPION, bupropion hydrochloride 150 mg tablet: modified release, 90 tablets
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

1 December 2015

Deletion – Brand

8613H PKU Anamix Junior, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE, amino acid formula with vitamins and minerals without phenylalanine oral liquid: powder for, 30 x 29 g sachets
9395L TYR Anamix Junior, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINE, amino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid: powder for, 30 x 29 g sachets
8745G MSUD Anamix Junior, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINE, amino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid: powder for, 30 x 29 g sachets

Palliative Care

Deletions

Deletion – Item

5387M LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1 (Actilax, Dulose)
5388N LACTULOSE, LACTULOSE Mixture 3.34 g per 5 mL, 500 mL, 1 (Actilax, Dulose)

Highly Specialised Drugs Program (Private Hospital)

Deletions

Deletion – Item

9647R APOMORPHINE, apomorphine hydrochloride 50 mg/10 mL injection: subcutaneous infusion, 5 x 10 mL syringes (Apomine PFS)
6223M PAMIDRONATE DISODIUM, pamidronate disodium 90 mg injection [1 x 90 mg vial] (&) inert substance diluent [1 x 10 mL ampoule], 1 pack (Aredia 90 mg)
6279L PAMIDRONATE DISODIUM, pamidronate disodium 30 mg injection [2 x 30 mg vials] (&) inert substance diluent [2 x 10 mL ampoules], 1 pack (Aredia 30 mg)
2378E TELAPREVIR, telaprevir 375 mg tablet, 42 (Incivo)

Deletion – Equivalence Indicator

6287X Pamisol, HHPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial
6289B Pamisol, HHPAMIDRONATE DISODIUM, pamidronate disodium 90 mg/10 mL injection, 1 x 10 mL vial

Alterations

Alteration – Restriction

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

9619G IBANDRONIC ACID, ibandronic acid 6 mg/6 mL injection, 1 x 6 mL vial (Bondronat)
6496X INFLIXIMAB, infliximab 100 mg injection, 1 x 100 mg vial (Remicade)
9617E INFLIXIMAB, infliximab 100 mg injection, 1 x 100 mg vial (Remicade)
6287X PAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial (Pamisol)
6289B PAMIDRONATE DISODIUM, pamidronate disodium 90 mg/10 mL injection, 1 x 10 mL vial (Pamisol)
6371H ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 1 x 5 mL vial (Zometa)

Highly Specialised Drugs Program (Public Hospital)

Deletions

Deletion – Item

5611H APOMORPHINE, apomorphine hydrochloride 50 mg/10 mL injection: subcutaneous infusion, 5 x 10 mL syringes (Apomine PFS)
5703E PAMIDRONATE DISODIUM, pamidronate disodium 90 mg injection [1 x 90 mg vial] (&) inert substance diluent [1 x 10 mL ampoule], 1 pack (Aredia 90 mg)
5702D PAMIDRONATE DISODIUM, pamidronate disodium 30 mg injection [2 x 30 mg vials] (&) inert substance diluent [2 x 10 mL ampoules], 1 pack (Aredia 30 mg)
2437G TELAPREVIR, telaprevir 375 mg tablet, 42 (Incivo)

Deletion – Equivalence Indicator

5668H Pamisol, HHPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial
5670K Pamisol, HHPAMIDRONATE DISODIUM, pamidronate disodium 90 mg/10 mL injection, 1 x 10 mL vial

Alterations

Alteration – Restriction

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

5750P IBANDRONIC ACID, ibandronic acid 6 mg/6 mL injection, 1 x 6 mL vial (Bondronat)
5756Y INFLIXIMAB, infliximab 100 mg injection, 1 x 100 mg vial (Remicade)
5758C INFLIXIMAB, infliximab 100 mg injection, 1 x 100 mg vial (Remicade)
5668H PAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 1 x 10 mL vial (Pamisol)
5670K PAMIDRONATE DISODIUM, pamidronate disodium 90 mg/10 mL injection, 1 x 10 mL vial (Pamisol)
9653C ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 1 x 5 mL vial (Zometa)

Highly Specialised Drugs Program (Community Access)

Deletions

Deletion – Item

10368Q FOSAMPRENAVIR, fosamprenavir 50 mg/mL oral liquid, 225 mL (Telzir)

Botulinum Toxin Program

Alterations

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)

Alteration – Restriction Level

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

Alteration – Maximum Quantity

From To
6103F BOTULINUM TOXIN TYPE A, botulinum toxin type A 100 units injection, 1 x 100 units vial (Botox) 1 4
1152P CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX, clostridium botulinum type A toxin-haemagglutinin complex 300 units injection, 1 x 300 units vial (Dysport) 1 4
6293F CLOSTRIDIUM BOTULINUM TYPE A TOXIN-HAEMAGGLUTININ COMPLEX, clostridium botulinum type A toxin-haemagglutinin complex 500 units injection, 1 x 500 units vial (Dysport) 1 2
10253P INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 mouse LD50 units injection, 1 x 100 mouse LD50 units vial (Xeomin) 1 3

Growth Hormone Programme

Additions

Addition – Item

10456H SOMATROPIN, somatropin 1.8 international units (600 microgram) injection [7 x 600 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10477K SOMATROPIN, somatropin 1.8 international units (600 microgram) injection [7 x 600 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10463Q SOMATROPIN, somatropin 2.4 international units (800 microgram) injection [7 x 800 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10479M SOMATROPIN, somatropin 2.4 international units (800 microgram) injection [7 x 800 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10430Y SOMATROPIN, somatropin 3 international units (1 mg) injection [7 x 1 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10480N SOMATROPIN, somatropin 3 international units (1 mg) injection [7 x 1 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10453E SOMATROPIN, somatropin 3.6 international units (1.2 mg) injection [7 x 1.2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10457J SOMATROPIN, somatropin 3.6 international units (1.2 mg) injection [7 x 1.2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10434E SOMATROPIN, somatropin 4.2 international units (1.4 mg) injection [7 x 1.4 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10488B SOMATROPIN, somatropin 4.2 international units (1.4 mg) injection [7 x 1.4 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10454F SOMATROPIN, somatropin 4.8 international units (1.6 mg) injection [7 x 1.6 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10498M SOMATROPIN, somatropin 4.8 international units (1.6 mg) injection [7 x 1.6 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10500P SOMATROPIN, somatropin 5.4 international units (1.8 mg) injection [7 x 1.8 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10501Q SOMATROPIN, somatropin 5.4 international units (1.8 mg) injection [7 x 1.8 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10428W SOMATROPIN, somatropin 6 international units (2 mg) injection [7 x 2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10472E SOMATROPIN, somatropin 6 international units (2 mg) injection [7 x 2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
10447W SOMATROPIN, somatropin 12 international units (4 mg) injection [1 x 4 mg vial] (&) inert substance diluent [1 vial], 1 pack (Zomacton)
10452D SOMATROPIN, somatropin 12 international units (4 mg) injection [1 x 4 mg vial] (&) inert substance diluent [1 vial], 1 pack (Zomacton)
10433D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy)
10471D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy)
10440L SOMATROPIN, somatropin 30 international units (10 mg) injection [1 x 10 mg vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Zomacton)
10455G SOMATROPIN, somatropin 30 international units (10 mg) injection [1 x 10 mg vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Zomacton)
10444Q SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 1 mL cartridge], 1 pack (Genotropin)
10499N SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 1 mL cartridge], 1 pack (Genotropin)
10429X SOMATROPIN, somatropin 18 international units (6 mg) injection [1 x 6 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10482Q SOMATROPIN, somatropin 18 international units (6 mg) injection [1 x 6 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10461N SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10487Y SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10476J SOMATROPIN, somatropin 72 international units (24 mg) injection [1 x 24 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10502R SOMATROPIN, somatropin 72 international units (24 mg) injection [1 x 24 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
10435F SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
10443P SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
10426R SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
10431B SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
10427T SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
10432C SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10437H SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10467X SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10469B SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10484T SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
10458K SOMATROPIN, somatropin 18 international units (6 mg/1.03 mL) injection, 1 x 1.03 mL cartridge (Saizen)
10462P SOMATROPIN, somatropin 18 international units (6 mg/1.03 mL) injection, 1 x 1.03 mL cartridge (Saizen)
10438J SOMATROPIN, somatropin 30 international units (10 mg/2 mL) injection, 1 x 2 mL cartridge (NutropinAq)
10439K SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10441M SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
10448X SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10451C SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10478L SOMATROPIN, somatropin 30 international units (10 mg/2 mL) injection, 1 x 2 mL cartridge (NutropinAq)
10481P SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
10496K SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10483R SOMATROPIN, somatropin 36 international units (12 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Saizen)
10495J SOMATROPIN, somatropin 36 international units (12 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Saizen)
10446T SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope Surepal 15)
10449Y SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10468Y SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10470C SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
10485W SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope Surepal 15)
10489C SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
10490D SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope Surepal 15)
10442N SOMATROPIN, somatropin 60 international units (20 mg/2.5 mL) injection, 1 x 2.5 mL cartridge (Saizen)
10497L SOMATROPIN, somatropin 60 international units (20 mg/2.5 mL) injection, 1 x 2.5 mL cartridge (Saizen)

Alterations

Alteration – Item Description

From
6329D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy)
To
6329D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy)
From
9585L SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
To
9585L SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
From
9586M SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
To
9586M SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)

Alteration – Restriction

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

3388H SOMATROPIN, somatropin 60 international units (20 mg/2.5 mL) injection, 1 x 2.5 mL cartridge (Saizen)
5818F SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
5819G SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
5820H SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro)
5822K SOMATROPIN, somatropin 18 international units (6 mg/1.03 mL) injection, 1 x 1.03 mL cartridge (Saizen)
5824M SOMATROPIN, somatropin 36 international units (12 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Saizen)
6169Q SOMATROPIN, somatropin 18 international units (6 mg) injection [1 x 6 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
6170R SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
6266T SOMATROPIN, somatropin 12 international units (4 mg) injection [1 x 4 mg vial] (&) inert substance diluent [1 vial], 1 pack (Zomacton)
6295H SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
6296J SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
6297K SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx)
6310D SOMATROPIN, somatropin 30 international units (10 mg) injection [1 x 10 mg vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Zomacton)
6311E SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
6312F SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 1 mL cartridge], 1 pack (Genotropin)
6313G SOMATROPIN, somatropin 2.4 international units (800 microgram) injection [7 x 800 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6314H SOMATROPIN, somatropin 3 international units (1 mg) injection [7 x 1 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6315J SOMATROPIN, somatropin 3.6 international units (1.2 mg) injection [7 x 1.2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6316K SOMATROPIN, somatropin 4.2 international units (1.4 mg) injection [7 x 1.4 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6317L SOMATROPIN, somatropin 4.8 international units (1.6 mg) injection [7 x 1.6 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6318M SOMATROPIN, somatropin 5.4 international units (1.8 mg) injection [7 x 1.8 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6319N SOMATROPIN, somatropin 6 international units (2 mg) injection [7 x 2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)
6329D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy)
6345Y SOMATROPIN, somatropin 72 international units (24 mg) injection [1 x 24 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope)
6476W SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope)
9585L SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
9586M SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
9604L SOMATROPIN, somatropin 30 international units (10 mg/2 mL) injection, 1 x 2 mL cartridge (NutropinAq)
9628R SOMATROPIN, somatropin 1.8 international units (600 microgram) injection [7 x 600 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick)

Alteration – Restriction Level

From To
3388H SOMATROPIN, somatropin 60 international units (20 mg/2.5 mL) injection, 1 x 2.5 mL cartridge (Saizen) restricted authority-required
5818F SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) restricted authority-required
5819G SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) restricted authority-required
5820H SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) restricted authority-required
5822K SOMATROPIN, somatropin 18 international units (6 mg/1.03 mL) injection, 1 x 1.03 mL cartridge (Saizen) restricted authority-required
5824M SOMATROPIN, somatropin 36 international units (12 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Saizen) restricted authority-required
6169Q SOMATROPIN, somatropin 18 international units (6 mg) injection [1 x 6 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) restricted authority-required
6170R SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) restricted authority-required
6266T SOMATROPIN, somatropin 12 international units (4 mg) injection [1 x 4 mg vial] (&) inert substance diluent [1 vial], 1 pack (Zomacton) restricted authority-required
6295H SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) restricted authority-required
6296J SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) restricted authority-required
6297K SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) restricted authority-required
6310D SOMATROPIN, somatropin 30 international units (10 mg) injection [1 x 10 mg vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Zomacton) restricted authority-required
6311E SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope) restricted authority-required
6312F SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 1 mL cartridge], 1 pack (Genotropin) restricted authority-required
6313G SOMATROPIN, somatropin 2.4 international units (800 microgram) injection [7 x 800 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6314H SOMATROPIN, somatropin 3 international units (1 mg) injection [7 x 1 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6315J SOMATROPIN, somatropin 3.6 international units (1.2 mg) injection [7 x 1.2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6316K SOMATROPIN, somatropin 4.2 international units (1.4 mg) injection [7 x 1.4 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6317L SOMATROPIN, somatropin 4.8 international units (1.6 mg) injection [7 x 1.6 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6318M SOMATROPIN, somatropin 5.4 international units (1.8 mg) injection [7 x 1.8 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6319N SOMATROPIN, somatropin 6 international units (2 mg) injection [7 x 2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required
6329D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy) restricted authority-required
6345Y SOMATROPIN, somatropin 72 international units (24 mg) injection [1 x 24 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) restricted authority-required
6476W SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope) restricted authority-required
9585L SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick) restricted authority-required
9586M SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick) restricted authority-required
9604L SOMATROPIN, somatropin 30 international units (10 mg/2 mL) injection, 1 x 2 mL cartridge (NutropinAq) restricted authority-required
9628R SOMATROPIN, somatropin 1.8 international units (600 microgram) injection [7 x 600 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) restricted authority-required

Alteration – Number of Repeats

From To
3388H SOMATROPIN, somatropin 60 international units (20 mg/2.5 mL) injection, 1 x 2.5 mL cartridge (Saizen) 0 1
5818F SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) 0 1
5819G SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) 0 1
5820H SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin FlexPro) 0 1
5822K SOMATROPIN, somatropin 18 international units (6 mg/1.03 mL) injection, 1 x 1.03 mL cartridge (Saizen) 0 1
5824M SOMATROPIN, somatropin 36 international units (12 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Saizen) 0 1
6169Q SOMATROPIN, somatropin 18 international units (6 mg) injection [1 x 6 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) 0 1
6170R SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) 0 1
6266T SOMATROPIN, somatropin 12 international units (4 mg) injection [1 x 4 mg vial] (&) inert substance diluent [1 vial], 1 pack (Zomacton) 0 1
6295H SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) 0 1
6296J SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) 0 1
6297K SOMATROPIN, somatropin 45 international units (15 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Norditropin SimpleXx) 0 1
6310D SOMATROPIN, somatropin 30 international units (10 mg) injection [1 x 10 mg vial] (&) inert substance diluent [1 x 1 mL syringe], 1 pack (Zomacton) 0 1
6311E SOMATROPIN, somatropin 30 international units (10 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope) 0 1
6312F SOMATROPIN, somatropin 36 international units (12 mg) injection [1 x 12 mg cartridge] (&) inert substance diluent [1 x 1 mL cartridge], 1 pack (Genotropin) 0 1
6313G SOMATROPIN, somatropin 2.4 international units (800 microgram) injection [7 x 800 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6314H SOMATROPIN, somatropin 3 international units (1 mg) injection [7 x 1 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6315J SOMATROPIN, somatropin 3.6 international units (1.2 mg) injection [7 x 1.2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6316K SOMATROPIN, somatropin 4.2 international units (1.4 mg) injection [7 x 1.4 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6317L SOMATROPIN, somatropin 4.8 international units (1.6 mg) injection [7 x 1.6 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6318M SOMATROPIN, somatropin 5.4 international units (1.8 mg) injection [7 x 1.8 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6319N SOMATROPIN, somatropin 6 international units (2 mg) injection [7 x 2 mg syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1
6329D SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Injection 8 mg (24 i.u.) vial with 1.37 mL diluent cartridge (with preservative) (for use with one.click auto-injector), 1 (Saizen 8 mg click.easy) 0 1
6345Y SOMATROPIN, somatropin 72 international units (24 mg) injection [1 x 24 mg cartridge] (&) inert substance diluent [1 x 3.15 mL syringe], 1 pack (Humatrope) 0 1
6476W SOMATROPIN, somatropin 15 international units (5 mg/1.5 mL) injection, 1 x 1.5 mL cartridge (Omnitrope) 0 1
9585L SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick) 0 1
9586M SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick) 0 1
9604L SOMATROPIN, somatropin 30 international units (10 mg/2 mL) injection, 1 x 2 mL cartridge (NutropinAq) 0 1
9628R SOMATROPIN, somatropin 1.8 international units (600 microgram) injection [7 x 600 microgram syringes] (&) inert substance diluent [7 x 0.25 mL syringes], 1 pack (Genotropin MiniQuick) 0 1

IVF Program

Additions

Addition – Item

10491E FOLLITROPIN ALFA + LUTROPIN ALFA, follitropin alfa 150 units + lutropin alfa 75 units [1 vial] (&) inert substance diluent [1 vial], 1 pack (Pergoveris)
10465T LUTROPIN ALFA, lutropin alfa 75 international units injection [1 x 75 international units vial] (&) inert substance diluent [1 x 1 mL vial], 1 pack (Luveris)

Repatriation Pharmaceutical Benefits

Alterations

Alteration – Restriction

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

4082W CALCIUM, CALCIUM Tablet 600 mg (as carbonate), 120 (CAL-600)
4094L CALCIUM, CALCIUM Tablet (chewable) 500 mg (as carbonate), 60 (Cal-500, Cal-Sup)
4142B CALCIUM, CALCIUM Tablet 600 mg (as carbonate), 120 (CAL-600)
4333C CALCIUM, CALCIUM Tablet (chewable) 500 mg (as carbonate), 60 (Cal-500, Cal-Sup)
4046Y DICLOFENAC, diclofenac sodium 3% gel, 25 g (Solaraze 3% Gel)
4591P GABAPENTIN, gabapentin 100 mg capsule, 100 (APO-Gabapentin, Gabapentin Aspen 100, Neurontin, Nupentin 100)
4592Q GABAPENTIN, gabapentin 300 mg capsule, 100 (Gabapentin 300, Gabapentin Aspen 300, Gantin, GenRx Gabapentin, Neurontin, Nupentin 300)
4593R GABAPENTIN, gabapentin 400 mg capsule, 100 (Gabapentin 400, Gabapentin Aspen 400, Gantin, GenRx Gabapentin, Neurontin, Nupentin 400)
4594T GABAPENTIN, gabapentin 600 mg tablet, 100 (Gabapentin Aspen 600, GenRx Gabapentin, Neurontin, Nupentin Tabs)
4595W GABAPENTIN, gabapentin 800 mg tablet, 100 (Gabapentin Aspen 800, Gantin, GenRx Gabapentin, Neurontin, Nupentin Tabs)
4559Y IMIQUIMOD, imiquimod 5% cream, 12 x 250 mg sachets (APO-Imiquimod, Aldara, Aldiq)
4321K MAGNESIUM ASPARTATE DIHYDRATE, magnesium aspartate dihydrate 500 mg (equivalent to 37.4 mg of magnesium) tablet, 50 (Mag-Sup, Magmin)
4570M ORLISTAT, orlistat 120 mg capsule, 84 (Xenical)
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Item

10424P PEMBROLIZUMAB,
pembrolizumab 50 mg injection, 1 vial (Keytruda)
10475H PEMBROLIZUMAB,
pembrolizumab 50 mg injection, 1 vial (Keytruda)

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Item

10436G PEMBROLIZUMAB,
pembrolizumab 50 mg injection, 1 vial (Keytruda)
10493G PEMBROLIZUMAB,
pembrolizumab 50 mg injection, 1 vial (Keytruda)