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General Pharmaceutical Benefits

Additions

Addition – Item

14689D OLAPARIB, olaparib 100 mg tablet, 56 (Lynparza)
14687B OLAPARIB, olaparib 150 mg tablet, 56 (Lynparza)
14686Y RISPERIDONE, risperidone 75 mg modified release injection [1 syringe] (&) inert substance diluent [0.383 mL syringe], 1 pack (Risvan)
14688C RISPERIDONE, risperidone 100 mg modified release injection [1 syringe] (&) inert substance diluent [0.49 mL syringe], 1 pack (Risvan)
14685X TALAZOPARIB, talazoparib 100 microgram capsule, 30 (Talzenna)
14684W TALAZOPARIB, talazoparib 250 microgram capsule, 30 (Talzenna)
14690E TALAZOPARIB, talazoparib 350 microgram capsule, 30 (Talzenna)
14683T TALAZOPARIB, talazoparib 500 microgram capsule, 30 (Talzenna)

Addition – Brand

12340L Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12341M Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12342N Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12345R Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12347W Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12358K Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12362P Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12363Q Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12373F Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12375H Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12376J Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12377K Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12381P Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12383R Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12389C Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12390D Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12411F Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12412G Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12414J Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12425Y Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12428D Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12429E Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12432H Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12433J Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12446C Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
12454L Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13211H Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13214L Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13215M Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13221W Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13223Y Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13224B Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13225C Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13226D Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13227E Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13230H Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13691N Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13703F Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13764K Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
14221L Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
14234E Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
14242N Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
14272E Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
10014C ERLOTINIB ARX, XT – ERLOTINIB, erlotinib 150 mg tablet, 30
10025P ERLOTINIB ARX, XT – ERLOTINIB, erlotinib 150 mg tablet, 30
11259N ERLOTINIB ARX, XT – ERLOTINIB, erlotinib 150 mg tablet, 30
13994M SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56
9449H SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56
14064F SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56
9450J SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56
14035Q SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56
9451K SITAGLO-MET, CR – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56

Addition – Note

13966C LIOTHYRONINE, liothyronine sodium 20 microgram tablet, 100 (Tertroxin)

Deletions

Deletion – Item

14037T MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 50 (Ceptolate)
1836P MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 50 (Ceptolate)

Deletion – Brand

13495G NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 10 mg tablet, 30
8213G NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 10 mg tablet, 30
13529C NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 20 mg tablet, 30
8214H NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 20 mg tablet, 30
13468W NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 40 mg tablet, 30
8215J NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 40 mg tablet, 30
13374X NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 80 mg tablet, 30
8521L NOUMED ATORVASTATIN, VO – ATORVASTATIN, atorvastatin 80 mg tablet, 30
13419G Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28
8604W Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28
13443M Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28
8605X Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28
13444N Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28
8606Y Cipla Bisoprolol, LR – BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28
8439E NOUMED CELECOXIB, VO – CELECOXIB, celecoxib 100 mg capsule, 60
8440F NOUMED CELECOXIB, VO – CELECOXIB, celecoxib 200 mg capsule, 30
2896K Dimethyl Fumarate MSN, LR – DIMETHYL FUMARATE, dimethyl fumarate 120 mg enteric capsule, 14
2943X Dimethyl Fumarate MSN, LR – DIMETHYL FUMARATE, dimethyl fumarate 120 mg enteric capsule, 14
2966D Dimethyl Fumarate MSN, LR – DIMETHYL FUMARATE, dimethyl fumarate 240 mg enteric capsule, 56
9155W Cymbalta, LY – DULOXETINE, duloxetine 30 mg enteric capsule, 28
9156X Cymbalta, LY – DULOXETINE, duloxetine 60 mg enteric capsule, 28
14349F NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 10 mg tablet, 28
14519E NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 10 mg tablet, 28
8700X NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 10 mg tablet, 28
9432K NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 10 mg tablet, 28
14415Q NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 20 mg tablet, 28
14416R NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 20 mg tablet, 28
8701Y NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 20 mg tablet, 28
9433L NOUMED ESCITALOPRAM, VO – ESCITALOPRAM, escitalopram 20 mg tablet, 28
11692J Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
12287Q Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
14308C Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
14444F Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
14481E Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
8600P Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
8886Q Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 20 mg enteric tablet, 30
12283L Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 40 mg enteric tablet, 30
14373L Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 40 mg enteric tablet, 30
14512T Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 40 mg enteric tablet, 30
3401B Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 40 mg enteric tablet, 30
8601Q Esomeprazole Mylan, AL – ESOMEPRAZOLE, esomeprazole 40 mg enteric tablet, 30
5262Y FINGOLIS, LR – FINGOLIMOD, fingolimod 500 microgram capsule, 28
1434L NOUMED FLUOXETINE, VO – FLUOXETINE, fluoxetine 20 mg capsule, 28
1434L Prozac 20, LY – FLUOXETINE, fluoxetine 20 mg capsule, 28
14548Q NOUMED FLUOXETINE, VO – FLUOXETINE, fluoxetine 20 mg capsule, 28
14548Q Prozac 20, LY – FLUOXETINE, fluoxetine 20 mg capsule, 28
11625W Genteal, AQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
11625W In a Wink Moisturising, IQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
11634H Genteal, AQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
11634H In a Wink Moisturising, IQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
14318N Genteal, AQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
14318N In a Wink Moisturising, IQ – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
13842M NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 25 mg tablet, 56
2848X NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 25 mg tablet, 56
13975M NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 50 mg tablet, 56
2849Y NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 50 mg tablet, 56
14052N NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 100 mg tablet, 56
2850B NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 100 mg tablet, 56
13843N NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 200 mg tablet, 56
2851C NOUMED LAMOTRIGINE, VO – LAMOTRIGINE, lamotrigine 200 mg tablet, 56
11669E NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
12284M NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
14302R NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
14304W NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
14340R NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
2240X NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
2241Y NOUMED LANSOPRAZOLE, VO – LANSOPRAZOLE, lansoprazole 30 mg enteric capsule, 28
1324Q NOUMED METOPROLOL, VO – METOPROLOL TARTRATE, METOPROLOL TARTRATE Tablet 50 mg, 100
13598Q NOUMED METOPROLOL, VO – METOPROLOL TARTRATE, METOPROLOL TARTRATE Tablet 50 mg, 100
1325R NOUMED METOPROLOL, VO – METOPROLOL TARTRATE, METOPROLOL TARTRATE Tablet 100 mg, 60
13541Q NOUMED METOPROLOL, VO – METOPROLOL TARTRATE, METOPROLOL TARTRATE Tablet 100 mg, 60
2522R NortriTABS 10 mg, GH – NORTRIPTYLINE, nortriptyline 10 mg tablet, 50
2523T NortriTABS 25 mg, GH – NORTRIPTYLINE, nortriptyline 25 mg tablet, 50
1746X Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
5196L Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
5224Y Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
8784H Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
2348N NOUMED PREGABALIN, VO – PREGABALIN, pregabalin 25 mg capsule, 56
2335X NOUMED PREGABALIN, VO – PREGABALIN, pregabalin 75 mg capsule, 56
2355Y NOUMED PREGABALIN, VO – PREGABALIN, pregabalin 150 mg capsule, 56
2363J NOUMED PREGABALIN, VO – PREGABALIN, pregabalin 300 mg capsule, 56
14400X NOUMED SERTRALINE, VO – SERTRALINE, sertraline 50 mg tablet, 30
14403C NOUMED SERTRALINE, VO – SERTRALINE, sertraline 50 mg tablet, 30
2236Q NOUMED SERTRALINE, VO – SERTRALINE, sertraline 50 mg tablet, 30
8836C NOUMED SERTRALINE, VO – SERTRALINE, sertraline 50 mg tablet, 30
14404D NOUMED SERTRALINE, VO – SERTRALINE, sertraline 100 mg tablet, 30
14506L NOUMED SERTRALINE, VO – SERTRALINE, sertraline 100 mg tablet, 30
2237R NOUMED SERTRALINE, VO – SERTRALINE, sertraline 100 mg tablet, 30
8837D NOUMED SERTRALINE, VO – SERTRALINE, sertraline 100 mg tablet, 30
13528B NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 10 mg tablet, 30
2011W NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 10 mg tablet, 30
13373W NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 20 mg tablet, 30
2012X NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 20 mg tablet, 30
13471B NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 40 mg tablet, 30
8173E NOUMED SIMVASTATIN, VO – SIMVASTATIN, simvastatin 40 mg tablet, 30
10004M Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
10009T Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
11266Y Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
9417P Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
9420T Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
9488J Sunitinib MSN, LR – SUNITINIB, sunitinib 12.5 mg capsule, 28
11253G Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
2842N Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
2959R Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
9418Q Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
9421W Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
9489K Sunitinib MSN, LR – SUNITINIB, sunitinib 25 mg capsule, 28
10459L Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
10464R Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
10473F Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
10503T Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
10504W Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
11256K Sunitinib MSN, LR – SUNITINIB, sunitinib 37.5 mg capsule, 28
10010W Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
11250D Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
2837H Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
9419R Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
9422X Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
9490L Sunitinib MSN, LR – SUNITINIB, sunitinib 50 mg capsule, 28
13593K NOUMED TELMISARTAN, VO – TELMISARTAN, telmisartan 80 mg tablet, 28
8356T NOUMED TELMISARTAN, VO – TELMISARTAN, telmisartan 80 mg tablet, 28

Deletion – Equivalence Indicator

11625W Revive Tears, PP – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
11634H Revive Tears, PP – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
14318N Revive Tears, PP – HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL
2522R Allegron, RW – NORTRIPTYLINE, nortriptyline 10 mg tablet, 50
2523T Allegron, RW – NORTRIPTYLINE, nortriptyline 25 mg tablet, 50

Deletion – Note

13318Y ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
13325H ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
14202L METHADONE, methadone hydrochloride 10 mg/mL injection, 5 x 1 mL vials (Physeptone)
13884R MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
8649F MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
13789R USTEKINUMAB, ustekinumab 90 mg/mL injection, 1 mL syringe (Stelara)

Deletion – Restriction

13966C LIOTHYRONINE, liothyronine sodium 20 microgram tablet, 100 (Tertroxin)
13789R USTEKINUMAB, ustekinumab 90 mg/mL injection, 1 mL syringe (Stelara)

Alterations

Alteration – Item Description

From
12132M AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
12132M AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
12141B AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
12141B AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
12152N AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
12152N AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
12153P AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
12153P AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
13139M AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
13139M AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
13141P AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
13141P AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
13150D AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
13150D AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
13167B AFLIBERCEPT, aflibercept 3.6 mg/0.09 mL injection, 0.09 mL syringe (Eylea)
To
13167B AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
From
10505X AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
10505X AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
11991D AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
11991D AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
12131L AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
12131L AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
13138L AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
13138L AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
13146X AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
13146X AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
13151E AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
13151E AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
13164W AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
13164W AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
2168D AFLIBERCEPT, aflibercept 4 mg/0.1 mL injection, 0.1 mL vial (Eylea)
To
2168D AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
From
8713N FOLLITROPIN ALFA, follitropin alfa 300 units (21.84 microgram)/0.5 mL injection, 0.5 mL pen device (Gonal-f Pen)
To
8713N FOLLITROPIN ALFA, follitropin alfa 300 units (21.84 microgram)/0.48 mL injection, 0.48 mL pen device (Gonal-f Pen)
From
8714P FOLLITROPIN ALFA, follitropin alfa 450 units (32.76 microgram)/0.75 mL injection, 0.75 mL pen device (Gonal-f Pen)
To
8714P FOLLITROPIN ALFA, follitropin alfa 450 units (32.76 microgram)/0.72 mL injection, 0.72 mL pen device (Gonal-f Pen)
From
8715Q FOLLITROPIN ALFA, follitropin alfa 900 units (65.52 microgram)/1.5 mL injection, 1.5 mL pen device (Gonal-f Pen)
To
8715Q FOLLITROPIN ALFA, follitropin alfa 900 units (65.52 microgram)/1.44 mL injection, 1.44 mL pen device (Gonal-f Pen)

Alteration – Brand Name

From
13976N APX-Metformin, TY – METFORMIN, metformin hydrochloride 500 mg tablet, 100
To
13976N APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 500 mg tablet, 100
From
2430X APX-Metformin, TY – METFORMIN, metformin hydrochloride 500 mg tablet, 100
To
2430X APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 500 mg tablet, 100
From
13952H APX-Metformin, TY – METFORMIN, metformin hydrochloride 850 mg tablet, 60
To
13952H APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 850 mg tablet, 60
From
1801T APX-Metformin, TY – METFORMIN, metformin hydrochloride 850 mg tablet, 60
To
1801T APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 850 mg tablet, 60
From
14056T APX-Metformin, TY – METFORMIN, metformin hydrochloride 1 g tablet, 90
To
14056T APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 1 g tablet, 90
From
8607B APX-Metformin, TY – METFORMIN, metformin hydrochloride 1 g tablet, 90
To
8607B APX-METFORMIN, TY – METFORMIN, metformin hydrochloride 1 g tablet, 90

Alteration – Note

12371D ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
12407B ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
12332C ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
12350B ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
14273F ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
14295J ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
12338J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12340L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12342N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12345R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12347W ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12359L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12362P ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12364R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12373F ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12376J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12378L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12380N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12381P ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12382Q ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12397L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12400P ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12412G ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12421R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12428D ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12429E ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12432H ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12433J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12442W ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12451H ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12453K ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12454L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12455M ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
13691N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Hyrimoz, Yuflyma)
13704G ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Yuflyma)
13763J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Yuflyma)
13764K ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Hyrimoz, Yuflyma)
14272E ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
14628X ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
10413C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
10419J ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
10944B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
10955N ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12331B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
12333D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
12356H ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12370C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12386X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12387Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
12388B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12402R ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12416L ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
13692P ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
13722F ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
13744J ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
13754X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
14222M ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
14284T ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
5281Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
5282B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
8737W ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
8963R ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
8965W ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9033K ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9077R ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9099X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9101B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9103D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9188N ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9190Q ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9425C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9426D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12339K ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12360M ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12372E ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12374G ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12393G ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12394H ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12409D ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12419P ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12426B ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12447D ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12450G ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Yuflyma)
12524E ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
9125G DASATINIB, dasatinib 20 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9126H DASATINIB, dasatinib 50 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9127J DASATINIB, dasatinib 70 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9343R DASATINIB, dasatinib 100 mg tablet, 30 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
10174L ENZALUTAMIDE, enzalutamide 40 mg capsule, 112 (Xtandi)
10924Y IMATINIB, imatinib 100 mg capsule, 60 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib-APOTEX)
11783E IMATINIB, imatinib 100 mg capsule, 60 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib-APOTEX)
10917N IMATINIB, imatinib 400 mg capsule, 30 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
11771M IMATINIB, imatinib 400 mg capsule, 30 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
11780B IMATINIB, imatinib 100 mg tablet, 60 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
9123E IMATINIB, imatinib 100 mg tablet, 60 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
11789L IMATINIB, imatinib 400 mg tablet, 30 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
9124F IMATINIB, imatinib 400 mg tablet, 30 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
12911M IMATINIB, imatinib 600 mg tablet, 30 (Imatab)
12920B IMATINIB, imatinib 600 mg tablet, 30 (Imatab)
11720W TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11734N TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11742B TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11748H TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
13301C TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
13306H TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
13738C TOFACITINIB, tofacitinib 1 mg/mL oral liquid, 240 mL (Xeljanz)
13770R TOFACITINIB, tofacitinib 1 mg/mL oral liquid, 240 mL (Xeljanz)
13737B TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
13755Y TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)

Alteration – Restriction

9125G DASATINIB, dasatinib 20 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9126H DASATINIB, dasatinib 50 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9127J DASATINIB, dasatinib 70 mg tablet, 60 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
9343R DASATINIB, dasatinib 100 mg tablet, 30 (DASATINIB-TEVA, Dasatinib ARX, Dasatinib Dr.Reddy's, Dasatinib SUN, Dasatinib Sandoz, Dasatinib Viatris, Sprycel)
10174L ENZALUTAMIDE, enzalutamide 40 mg capsule, 112 (Xtandi)
10924Y IMATINIB, imatinib 100 mg capsule, 60 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib-APOTEX)
11783E IMATINIB, imatinib 100 mg capsule, 60 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib-APOTEX)
10917N IMATINIB, imatinib 400 mg capsule, 30 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
11771M IMATINIB, imatinib 400 mg capsule, 30 (ARX-IMATINIB, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
11780B IMATINIB, imatinib 100 mg tablet, 60 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
9123E IMATINIB, imatinib 100 mg tablet, 60 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
11789L IMATINIB, imatinib 400 mg tablet, 30 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
9124F IMATINIB, imatinib 400 mg tablet, 30 (Gilmat, Glivec, IMATINIB RBX, Imanib, Imatinib Sandoz, Imatinib-Teva)
12911M IMATINIB, imatinib 600 mg tablet, 30 (Imatab)
12920B IMATINIB, imatinib 600 mg tablet, 30 (Imatab)
14181J OLAPARIB, olaparib 100 mg tablet, 56 (Lynparza)
14208T OLAPARIB, olaparib 150 mg tablet, 56 (Lynparza)

Alteration – Manufacturer Code

From To
11656L Xadago – SAFINAMIDE, safinamide 50 mg tablet, 30 CS IX
14391K Xadago – SAFINAMIDE, safinamide 50 mg tablet, 30 CS IX
11666B Xadago – SAFINAMIDE, safinamide 100 mg tablet, 30 CS IX
14528P Xadago – SAFINAMIDE, safinamide 100 mg tablet, 30 CS IX

Supply Only

Supply Only – Period Commencing

5519L

HYPROMELLOSE + CARBOMER-980, hypromellose 0.3% + carbomer-980 0.2% eye gel, 10 g (Genteal gel, HPMC PAA)

8564R

HYPROMELLOSE + CARBOMER-980, hypromellose 0.3% + carbomer-980 0.2% eye gel, 10 g (Genteal gel, HPMC PAA)

9215B

HYPROMELLOSE + CARBOMER-980, hypromellose 0.3% + carbomer-980 0.2% eye gel, 10 g (Genteal gel, HPMC PAA)

13776C

TOFACITINIB, tofacitinib 1 mg/mL oral liquid, 240 mL (Xeljanz)

13757C

TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)

Supply Only – Period Ending

12117R

ACALABRUTINIB, acalabrutinib 100 mg capsule, 56 (Calquence)

12826C

ACALABRUTINIB, acalabrutinib 100 mg capsule, 56 (Calquence)

11643T

HYPROMELLOSE, hypromellose 0.3% w/w eye drops, 10 mL (Genteal, In a Wink Moisturising)

1606M

METHADONE, methadone hydrochloride 10 mg/mL injection, 5 x 1 mL ampoules (Physeptone)

Advance Notices

1 February 2025

Deletion – Brand

12338J Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12359L Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12361N Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12364R Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12378L Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12379M Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12380N Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12382Q Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12391E Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12397L Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12398M Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12399N Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12400P Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12405X Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12410E Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12413H Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12421R Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12422T Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12430F Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12442W Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12451H Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12453K Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
12455M Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13208E Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13209F Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13213K Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13216N Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13217P Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13218Q Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13219R Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13220T Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13222X Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13704G Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13732R Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13763J Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
14586Q Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
14591Y Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
14628X Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
14629Y Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
14132T Cholestyramine (Ascend, USA), CR – COLESTYRAMINE, colestyramine 4 g powder for oral liquid, 60 pouches
14145L Cholestyramine (Ascend, USA), CR – COLESTYRAMINE, colestyramine 4 g powder for oral liquid, 60 pouches
14561J NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 45 mg tablet, 30
8883M NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 45 mg tablet, 30
13437F NOUMED TELMISARTAN, VO – TELMISARTAN, telmisartan 40 mg tablet, 28
8355R NOUMED TELMISARTAN, VO – TELMISARTAN, telmisartan 40 mg tablet, 28

1 March 2025

Deletion – Brand

14425F BetoQuin, NM – BETAXOLOL, betaxolol 0.5% eye drops, 5 mL
2825Q BetoQuin, NM – BETAXOLOL, betaxolol 0.5% eye drops, 5 mL
5544T BetoQuin, NM – BETAXOLOL, betaxolol 0.5% eye drops, 5 mL
12262J Protaphane InnoLet, NI – INSULIN ISOPHANE HUMAN, insulin isophane human 100 units/mL injection, 5 x 3 mL pen devices
13380F Irbesartan GH, GQ – IRBESARTAN, irbesartan 150 mg tablet, 30
13435D Irbesartan GH, GQ – IRBESARTAN, irbesartan 75 mg tablet, 30
13564X Irbesartan GH, GQ – IRBESARTAN, irbesartan 300 mg tablet, 30
8246B Irbesartan GH, GQ – IRBESARTAN, irbesartan 75 mg tablet, 30
8247C Irbesartan GH, GQ – IRBESARTAN, irbesartan 150 mg tablet, 30
8248D Irbesartan GH, GQ – IRBESARTAN, irbesartan 300 mg tablet, 30
8816B Modafinil Mylan, AF – MODAFINIL, modafinil 100 mg tablet, 60
3382B Olanzapine ODT generichealth 10, GQ – OLANZAPINE, olanzapine 10 mg orally disintegrating tablet, 28
2355Y Cipla Pregabalin, LR – PREGABALIN, pregabalin 150 mg capsule, 56
8457D Quetiapine APOTEX, GX – QUETIAPINE, quetiapine 100 mg tablet, 90
8341B Imigran, AS – SUMATRIPTAN, sumatriptan 20 mg/actuation nasal spray, 2 x 1 actuation
8526R Metalyse, BY – TENECTEPLASE, tenecteplase 40 mg injection [1 vial] (&) inert substance diluent [8 mL syringe], 1 pack

1 April 2025

Deletion – Brand

8718W Aripic Aripiprazole, LR – ARIPIPRAZOLE, aripiprazole 15 mg tablet, 30
8719X Aripic Aripiprazole, LR – ARIPIPRAZOLE, aripiprazole 20 mg tablet, 30
8720Y Aripic Aripiprazole, LR – ARIPIPRAZOLE, aripiprazole 30 mg tablet, 30
8566W Recagon, OV – FOLLITROPIN BETA, follitropin beta 600 units/0.72 mL injection, 0.72 mL cartridge
13867W Lacoress, LR – LACOSAMIDE, lacosamide 100 mg tablet, 56
13951G Lacoress, LR – LACOSAMIDE, lacosamide 200 mg tablet, 56
14053P Lacoress, LR – LACOSAMIDE, lacosamide 150 mg tablet, 56
9333F Lacoress, LR – LACOSAMIDE, lacosamide 50 mg tablet, 14
9334G Lacoress, LR – LACOSAMIDE, lacosamide 100 mg tablet, 14
9335H Lacoress, LR – LACOSAMIDE, lacosamide 100 mg tablet, 56
9336J Lacoress, LR – LACOSAMIDE, lacosamide 150 mg tablet, 14
9337K Lacoress, LR – LACOSAMIDE, lacosamide 150 mg tablet, 56
9338L Lacoress, LR – LACOSAMIDE, lacosamide 200 mg tablet, 56
14000W Mycophenolate APOTEX, GX – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
8650G Mycophenolate APOTEX, GX – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
8186W Olanzapine APOTEX, GX – OLANZAPINE, olanzapine 7.5 mg tablet, 28
5295Q Aloxi, JZ – PALONOSETRON, palonosetron 250 microgram/5 mL injection, 5 mL vial
8456C Quetiapine APOTEX, GX – QUETIAPINE, quetiapine 25 mg tablet, 60
8458E Quetiapine APOTEX, GX – QUETIAPINE, quetiapine 200 mg tablet, 60
8580N Quetiapine APOTEX, GX – QUETIAPINE, quetiapine 300 mg tablet, 60
11276L Tenofovir/Emtricitabine 300/200 APOTEX, TX – TENOFOVIR DISOPROXIL + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30

Palliative Care

Deletions

Deletion – Note

14193B METHADONE, methadone hydrochloride 10 mg/mL injection, 5 x 1 mL vials (Physeptone)

Supply Only

Supply Only – Period Ending

12481X

METHADONE, methadone hydrochloride 10 mg/mL injection, 5 x 1 mL ampoules (Physeptone)

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Brand

12335F Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13229G Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices

Deletions

Deletion – Item

1837Q MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 50 (Ceptolate)

Deletion – Note

6208R MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
13647G RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)

Alterations

Alteration – Note

12443X ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
13292N ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
12349Y ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
12439Q ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
14276J ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
14285W ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
12335F ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12396K ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
13210G ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
13229G ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
12368Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12384T ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9679K ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9680L ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
13295R ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
6367D ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
13326J ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
9641K ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
13332Q ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
9615C ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
11036W LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11966T LENALIDOMIDE, lenalidomide 5 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12038N LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12058P LENALIDOMIDE, lenalidomide 5 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12071H LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12984J LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13642B LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
2798G LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
9642L LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11063G LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11969Y LENALIDOMIDE, lenalidomide 10 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12004T LENALIDOMIDE, lenalidomide 10 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12050F LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12060R LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12980E LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13658W LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
2796E LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
9643M LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11042E LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11965R LENALIDOMIDE, lenalidomide 15 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12011E LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12020P LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12069F LENALIDOMIDE, lenalidomide 15 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12986L LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13657T LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
9644N LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
14582L LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14583M LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14609X LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14610Y LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14615F LENALIDOMIDE, lenalidomide 20 mg capsule, 14 (Lenalide)
14624Q LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14631C LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
11055W LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12018M LENALIDOMIDE, lenalidomide 25 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12037M LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12068E LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12993W LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13660Y LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
9645P LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
10068X TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
13311N TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
10079L TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
13312P TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
10060L TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
13338B TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Alteration – Restriction

13647G RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
14679N VEDOLIZUMAB, vedolizumab 300 mg injection, 1 vial (Entyvio)

Advance Notices

1 February 2025

Deletion – Brand

12396K Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13210G Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes

1 April 2025

Deletion – Brand

6209T Mycophenolate APOTEX, GX – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Brand

12444Y Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices
13212J Hyrimoz, SZ – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices

Deletions

Deletion – Item

1839T MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 50 (Ceptolate)

Deletion – Note

9501C MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
13655Q RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)

Alterations

Alteration – Note

12406Y ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
13293P ADALIMUMAB, adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes (Humira)
12417M ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
12435L ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 0.4 mL syringe (Amgevita)
14235F ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
14286X ADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes (Abrilada)
12431G ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12444Y ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
13212J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Hadlima, Humira, Hyrimoz, Yuflyma)
13228F ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Adalicip, Hadlima, Humira, Yuflyma)
12348X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
12355G ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9662M ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Abrilada, Amgevita, Hadlima, Hyrimoz)
9663N ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
13294Q ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
5734T ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
13319B ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
5735W ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
13308K ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
5733R ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
11029L LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11967W LENALIDOMIDE, lenalidomide 5 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12034J LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12035K LENALIDOMIDE, lenalidomide 5 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12039P LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12985K LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13636Q LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
2799H LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
5783J LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11064H LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11968X LENALIDOMIDE, lenalidomide 10 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12057N LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12061T LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12070G LENALIDOMIDE, lenalidomide 10 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12988N LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13661B LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
2802L LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
5784K LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11062F LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
11964Q LENALIDOMIDE, lenalidomide 15 mg capsule, 28 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12012F LENALIDOMIDE, lenalidomide 15 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12026Y LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12062W LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12991R LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13641Y LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
5785L LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
14588T LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14592B LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14608W LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14616G LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14623P LENALIDOMIDE, lenalidomide 20 mg capsule, 14 (Lenalide)
14632D LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
14633E LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide)
11041D LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12019N LENALIDOMIDE, lenalidomide 25 mg capsule, 14 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide-Teva, Revlimid)
12036L LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12059Q LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
12979D LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
13630J LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
5786M LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Lenalidomide-Teva, Revlimid)
10077J TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
13324G TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
10056G TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
13305G TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
10064Q TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
13339C TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Alteration – Restriction

13655Q RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
14670D VEDOLIZUMAB, vedolizumab 300 mg injection, 1 vial (Entyvio)

Advance Notices

1 February 2025

Deletion – Brand

12431G Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes
13228F Adalicip, LR – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes

1 April 2025

Deletion – Brand

9502D Mycophenolate APOTEX, GX – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50

Highly Specialised Drugs Program (Community Access)

Deletions

Deletion – Brand

10357D Abacavir/Lamivudine Mylan, AF – ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30

Advance Notices

1 February 2025

Deletion – Brand

11155D Tenofovir Disoproxil Mylan, AF – TENOFOVIR DISOPROXIL, tenofovir disoproxil maleate 300 mg tablet, 30
11982P Tenofovir Disoproxil Mylan, AF – TENOFOVIR DISOPROXIL, tenofovir disoproxil maleate 300 mg tablet, 30

1 March 2025

Deletion – Brand

10353X Entecavir Mylan, AF – ENTECAVIR, entecavir 1 mg tablet, 30

1 April 2025

Deletion – Brand

10303G Viramune XR, BY – NEVIRAPINE, nevirapine 400 mg modified release tablet, 30
10310P Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30
11992E Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30
10347N Tenofovir/Emtricitabine 300/200 APOTEX, TX – TENOFOVIR DISOPROXIL + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30

Growth Hormone Program

Additions

Addition – Note

13712Q SOMATROPIN, somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (Saizen)
13709M SOMATROPIN, somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (Saizen)

Alterations

Alteration – Restriction

11493X SOMATROPIN, somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick)
11495B SOMATROPIN, somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick)
11895C SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro)
13712Q SOMATROPIN, somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (Saizen)
13709M SOMATROPIN, somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (Saizen)

IVF Program

Alterations

Alteration – Item Description

From
6431L FOLLITROPIN ALFA, follitropin alfa 300 units (21.84 microgram)/0.5 mL injection, 0.5 mL pen device (Gonal-f Pen)
To
6431L FOLLITROPIN ALFA, follitropin alfa 300 units (21.84 microgram)/0.48 mL injection, 0.48 mL pen device (Gonal-f Pen)
From
6432M FOLLITROPIN ALFA, follitropin alfa 450 units (32.76 microgram)/0.75 mL injection, 0.75 mL pen device (Gonal-f Pen)
To
6432M FOLLITROPIN ALFA, follitropin alfa 450 units (32.76 microgram)/0.72 mL injection, 0.72 mL pen device (Gonal-f Pen)
From
6433N FOLLITROPIN ALFA, follitropin alfa 900 units (65.52 microgram)/1.5 mL injection, 1.5 mL pen device (Gonal-f Pen)
To
6433N FOLLITROPIN ALFA, follitropin alfa 900 units (65.52 microgram)/1.44 mL injection, 1.44 mL pen device (Gonal-f Pen)

Advance Notices

1 April 2025

Deletion – Brand

6336L Recagon, OV – FOLLITROPIN BETA, follitropin beta 600 units/0.72 mL injection, 0.72 mL cartridge

Repatriation Pharmaceutical Benefits

Deletions

Deletion – Brand

10582Y Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
10585D Parapane, AF – PARACETAMOL, paracetamol 500 mg tablet, 100
 

Efficient Funding of Chemotherapy (Private Hospital)

Deletions

Deletion – Brand

12219D DBL Bortezomib, PF – BORTEZOMIB, bortezomib 1 mg injection, 1 vial
12219D DBL Bortezomib, PF – BORTEZOMIB, bortezomib 2.5 mg injection, 1 vial

Efficient Funding of Chemotherapy (Public Hospital)

Deletions

Deletion – Brand

12227M DBL Bortezomib, PF – BORTEZOMIB, bortezomib 1 mg injection, 1 vial
12227M DBL Bortezomib, PF – BORTEZOMIB, bortezomib 2.5 mg injection, 1 vial

Related Pharmaceutical Benefits for Public Hospital use

Advance Notices

1 April 2025

Deletion – Brand

5853C Aloxi, JZ – PALONOSETRON, palonosetron 250 microgram/5 mL injection, 5 mL vial