Browse by Changes
Summary of Changes – 1 April 2026
Page last updated: 1 April 2026
Previous versions of the Summary of Changes are available in PDF in the Publications Archive.
- Prescriber Bag
- Additions
- Deletions
- Alterations
- Supply Only
- Advance Notices
- Palliative Care
- Highly Specialised Drugs Program (Private Hospital)
- Highly Specialised Drugs Program (Public Hospital)
- Highly Specialised Drugs Program (Community Access)
- Botulinum Toxin Program
- Growth Hormone Program
- IVF Program
- Repatriation Pharmaceutical Benefits
- Efficient Funding of Chemotherapy (Private Hospital)
- Efficient Funding of Chemotherapy (Public Hospital)
- Related Pharmaceutical Benefits for Public Hospital use
Prescriber Bag
Deletions
Deletion – Item
| 3496B | SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Salbutamol Cipla) |
General Pharmaceutical Benefits
Additions
Addition – Item
| 15282H | DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmomed) |
| 15333B | DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmomed) |
| 15313Y | DESMOPRESSIN, Desmopressin 120 microgram sublingual tablet, 30 (Desmopressin ADVZ) |
| 15323L | DESMOPRESSIN, Desmopressin 120 microgram sublingual tablet, 30 (Desmopressin ADVZ) |
| 15291T | DESMOPRESSIN, Desmopressin 240 microgram sublingual tablet, 30 (Desmopressin ADVZ) |
| 15312X | DESMOPRESSIN, Desmopressin 240 microgram sublingual tablet, 30 (Desmopressin ADVZ) |
| 15300G | ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio) |
| 15293X | ELRANATAMAB, Elranatamab 76 mg/1.9 mL injection, 1.9 mL vial (Elrexfio) |
| 15278D | FEDRATINIB, Fedratinib 100 mg capsule, 120 (Inrebic) |
| 15279E | FEDRATINIB, Fedratinib 100 mg capsule, 120 (Inrebic) |
| 15295B | GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry) |
| 15305M | GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry) |
| 15317E | GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry) |
| 15332Y | GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry) |
| 15289Q | GIVOSIRAN, givosiran 189 mg/mL injection, 1 mL vial (Givlaari) |
| 15272T | POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane) |
| 15320H | POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane) |
| 15326P | POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane) |
| 15280F | REPOTRECTINIB, repotrectinib 40 mg capsule, 120 (Augtyro) |
| 15288P | REPOTRECTINIB, repotrectinib 160 mg capsule, 60 (Augtyro) |
| 15311W | SEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device (Ozempic) |
| 15322K | SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic) |
Addition – Brand
| 12183F | Cipla Beclometasone/Formoterol 100/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 14376P | Cipla Beclometasone/Formoterol 100/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 13205B | Cipla Beclometasone/Formoterol 200/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 14538E | Cipla Beclometasone/Formoterol 200/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 11694L | LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 12628P | LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 14013M | LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 14048J | LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 10293R | LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14 |
| 12626M | LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14 |
| 14011K | LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14 |
| 14049K | LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14 |
| 9333F | LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14 |
| 12633X | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 14 |
| 12634Y | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56 |
| 13839J | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56 |
| 13867W | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56 |
| 9334G | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 14 |
| 9335H | LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56 |
| 12627N | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56 |
| 12649R | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 14 |
| 13838H | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56 |
| 14053P | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56 |
| 9336J | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 14 |
| 9337K | LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56 |
| 12658F | LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56 |
| 13949E | LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56 |
| 13951G | LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56 |
| 9338L | LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56 |
| 10792B | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 10809X | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 10815F | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 10818J | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 10827W | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 1913Q | GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g |
| 10791Y | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 10793C | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 10812C | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 10814E | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 10828X | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 1915T | GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g |
| 13568D | Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28 |
| 9316H | Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28 |
| 1595Y | Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 10 |
| 5473C | Ondansetron ODT VTRS, MQ – ONDANSETRON, ondansetron 8 mg orally disintegrating tablet, 10 |
| 8225X | Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 4 |
| 2893G | Prochlorperazine Viatris, AF – PROCHLORPERAZINE, prochlorperazine maleate 5 mg tablet, 25 |
| 5205Y | Prochlorperazine Viatris, AF – PROCHLORPERAZINE, prochlorperazine maleate 5 mg tablet, 25 |
| 14730G | Progesterone ADVZ 100, BZ – PROGESTERONE, progesterone 100 mg capsule, 30 |
| 14733K | Progesterone ADVZ 100, BZ – PROGESTERONE, progesterone 100 mg capsule, 30 |
| 12598C | Progesterone BNM 200, BZ – PROGESTERONE, progesterone 200 mg pessary, 42 |
| 14502G | Rabeprazole Viatris, AF – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28 |
| 8507R | Rabeprazole Viatris, AF – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28 |
| 11633G | XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 13521P | XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 9466F | XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15 |
| 9467G | XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 9469J | XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15 |
| 13463N | XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 28 |
| 2160Q | XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 42 |
| 2691P | XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 28 |
| 13462M | XAREMED, DZ – RIVAROXABAN, rivaroxaban 20 mg tablet, 28 |
| 2268J | XAREMED, DZ – RIVAROXABAN, rivaroxaban 20 mg tablet, 28 |
| 11656L | ARX-Safinamide, XT – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 11656L | XAFIMED, DZ – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 14391K | ARX-Safinamide, XT – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 14391K | XAFIMED, DZ – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 11666B | ARX-Safinamide, XT – SAFINAMIDE, safinamide 100 mg tablet, 30 |
| 11666B | XAFIMED, DZ – SAFINAMIDE, safinamide 100 mg tablet, 30 |
| 14528P | ARX-Safinamide, XT – SAFINAMIDE, safinamide 100 mg tablet, 30 |
| 14528P | XAFIMED, DZ – SAFINAMIDE, safinamide 100 mg tablet, 30 |
Addition – Equivalence Indicator
| 12183F | Fostair, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 14376P | Fostair, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 13205B | Fostair 200/6, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 14538E | Fostair 200/6, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations |
| 14004C | Minirin Melt, FP – DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 |
| 9398P | Minirin Melt, FP – DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 |
| 13890C | Minirin Melt, FP – DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 |
| 8975J | Minirin Melt, FP – DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 |
| 11694L | Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 12628P | Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 14013M | Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 14048J | Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL |
| 14730G | Prometrium, HB – PROGESTERONE, progesterone 100 mg capsule, 30 |
| 14733K | Prometrium, HB – PROGESTERONE, progesterone 100 mg capsule, 30 |
| 12598C | Utrogestan, HB – PROGESTERONE, progesterone 200 mg pessary, 42 |
| 11656L | Xadago, IX – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 14391K | Xadago, IX – SAFINAMIDE, safinamide 50 mg tablet, 30 |
| 11666B | Xadago, IX – SAFINAMIDE, safinamide 100 mg tablet, 30 |
| 14528P | Xadago, IX – SAFINAMIDE, safinamide 100 mg tablet, 30 |
Addition – Note
| 15128F | ARIPIPRAZOLE, aripiprazole 300 mg modified release injection [1 chamber] (&) inert substance diluent [1.2 mL chamber], 1 dual chamber syringe (Abilify Maintena) |
| 15122X | ARIPIPRAZOLE, aripiprazole 400 mg modified release injection [1 chamber] (&) inert substance diluent [1.6 mL chamber], 1 dual chamber syringe (Abilify Maintena) |
| 14004C | DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 (Minirin Melt) |
| 9398P | DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 (Minirin Melt) |
| 13890C | DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 (Minirin Melt) |
| 8975J | DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 (Minirin Melt) |
| 8449Q | PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25) |
| 13476G | PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25) |
| 2845R | PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
| 13506W | PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
| 9481B | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) |
| 13517K | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) |
| 9482C | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) |
| 13455E | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) |
Addition – Caution
|
8477E |
ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6) |
|
13439H |
ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6) |
|
8879H |
EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
|
13590G |
EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
|
8880J |
EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
|
13379E |
EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
|
9144G |
LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) |
|
13507X |
LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) |
|
9145H |
LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) |
|
13477H |
LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) |
|
9346X |
PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) |
|
13508Y |
PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) |
|
9347Y |
PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) |
|
13381G |
PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) |
|
9348B |
PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) |
|
13478J |
PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) |
|
9349C |
PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) |
|
13382H |
PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) |
|
8449Q |
PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25) |
|
13476G |
PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25) |
|
2845R |
PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
|
13506W |
PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
|
2629J |
RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) |
|
13534H |
RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) |
|
9387C |
TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) |
|
13594L |
TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) |
|
2857J |
TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) |
|
13591H |
TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) |
Deletions
Deletion – Item
| 14722W | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside, UK)) |
| 14734L | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside, UK)) |
| 1302M | DICLOFENAC, diclofenac sodium 100 mg suppository, 20 (Voltaren 100) |
| 5079H | DICLOFENAC, diclofenac sodium 100 mg suppository, 20 (Voltaren 100) |
| 8729K | GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril) |
| 8730L | GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril) |
| 13148B | PHENELZINE, phenelzine 15 mg tablet, 60 (Nardil (Canada)) |
| 13982X | QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac) |
| 8822H | QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac) |
Deletion – Brand
| 10022L | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30 |
| 10028T | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30 |
| 11263T | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30 |
| 13442L | EzSimva GH 10/20, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 20 mg tablet, 30 |
| 9484E | EzSimva GH 10/20, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 20 mg tablet, 30 |
| 13595M | EzSimva GH 10/80, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 80 mg tablet, 30 |
| 8882L | EzSimva GH 10/80, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 80 mg tablet, 30 |
| 11107N | Emend IV, MK – FOSAPREPITANT, fosaprepitant 150 mg injection, 1 vial |
| 14453Q | LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL |
| 5552F | LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL |
| 8243W | LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL |
| 13404L | Perindo, AF – PERINDOPRIL, perindopril erbumine 2 mg tablet, 30 |
| 3050M | Perindo, AF – PERINDOPRIL, perindopril erbumine 2 mg tablet, 30 |
| 13371R | Perindo, AF – PERINDOPRIL, perindopril erbumine 4 mg tablet, 30 |
| 3051N | Perindo, AF – PERINDOPRIL, perindopril erbumine 4 mg tablet, 30 |
| 13372T | Perindo, AF – PERINDOPRIL, perindopril erbumine 8 mg tablet, 30 |
| 8704D | Perindo, AF – PERINDOPRIL, perindopril erbumine 8 mg tablet, 30 |
| 13476G | Perindo Combi 4/1.25, AF – PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 |
| 8449Q | Perindo Combi 4/1.25, AF – PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 |
Deletion – Note
| 13869Y | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY) |
| 8189B | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY) |
Deletion – Restriction
| 9375K | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80) |
| 9376L | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160) |
| 5459H | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320) |
| 9377M | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160) |
| 5460J | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320) |
| 8504N | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz) |
| 9314F | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz) |
| 9315G | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz) |
| 14755N | DABRAFENIB, dabrafenib 50 mg capsule, 120 (Tafinlar) |
| 14778T | DABRAFENIB, dabrafenib 50 mg capsule, 120 (Tafinlar) |
| 14754M | DABRAFENIB, dabrafenib 75 mg capsule, 120 (Tafinlar) |
| 14757Q | DABRAFENIB, dabrafenib 75 mg capsule, 120 (Tafinlar) |
| 14753L | DABRAFENIB, dabrafenib 10 mg dispersible tablet, 2 x 210 (Tafinlar) |
| 14773M | DABRAFENIB, dabrafenib 10 mg dispersible tablet, 2 x 210 (Tafinlar) |
| 8624X | EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5) |
| 8404H | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5) |
| 8405J | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5) |
| 2136K | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25) |
| 9144G | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) |
| 9145H | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) |
| 5292M | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5) |
| 5293N | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5) |
| 5294P | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10) |
| 2161R | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5) |
| 2166B | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5) |
| 2170F | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25) |
| 9346X | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) |
| 9347Y | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) |
| 9348B | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) |
| 9349C | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) |
| 8449Q | PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25) |
| 2845R | PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
| 2629J | RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) |
| 8978M | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 8979N | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 8980P | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 8981Q | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 8622T | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5) |
| 8623W | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5) |
| 9381R | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25) |
| 9387C | TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) |
| 2857J | TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) |
| 9372G | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5) |
| 9373H | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5) |
| 9374J | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25) |
| 9481B | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) |
| 9482C | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) |
Alterations
Alteration – Brand Name
| From | |
| 8262W | Enojaxect, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes |
| To | |
| 8262W | Enoxaject, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes |
| From | |
| 8640R | Enojaxect, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes |
| To | |
| 8640R | Enoxaject, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes |
Alteration – Authorised Prescriber
| From | To | ||
| 14743Y | MOMELOTINIB, Momelotinib 100 mg tablet, 30 (Omjjara) | M | M,N |
| 14744B | MOMELOTINIB, Momelotinib 150 mg tablet, 30 (Omjjara) | M | M,N |
| 14770J | MOMELOTINIB, Momelotinib 200 mg tablet, 30 (Omjjara) | M | M,N |
| 10616R | RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi) | M | M,N |
| 10927D | RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi) | M | M,N |
| 10615Q | RUXOLITINIB, ruxolitinib 15 mg tablet, 56 (Jakavi) | M | M,N |
| 10617T | RUXOLITINIB, ruxolitinib 20 mg tablet, 56 (Jakavi) | M | M,N |
Alteration – Note
| 12458Q | DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmopressin Nasal Spray USP (Apotex)) |
| 12459R | DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmopressin Nasal Spray USP (Apotex)) |
| 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) |
| 11138F | VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza) |
Alteration – Restriction
| 12132M | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea) |
| 12141B | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea) |
| 12152N | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea) |
| 11991D | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea) |
| 12131L | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea) |
| 2168D | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea) |
| 15207J | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir) |
| 15213Q | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir) |
| 15217X | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir) |
| 13421J | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80) |
| 13516J | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160) |
| 13604B | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320) |
| 13454D | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160) |
| 13389Q | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320) |
| 10922W | ARMODAFINIL, armodafinil 50 mg tablet, 30 (Nuvigil) |
| 10912H | ARMODAFINIL, armodafinil 150 mg tablet, 30 (Nuvigil) |
| 10919Q | ARMODAFINIL, armodafinil 250 mg tablet, 30 (Nuvigil) |
| 13260X | ASCIMINIB, asciminib 40 mg tablet, 60 (Scemblix) |
| 14247W | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 14248X | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 14266W | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 13624C | AZACITIDINE, azacitidine 300 mg tablet, 7 (Onureg) |
| 12667Q | BROLUCIZUMAB, brolucizumab 6 mg/0.05 mL intraocular injection, 0.05 mL syringe (Beovu) |
| 13391T | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz) |
| 13452B | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz) |
| 13392W | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz) |
| 12063X | CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia) |
| 12027B | CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia) |
| 13106T | DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga) |
| 13202W | DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC) |
| 13133F | DECITABINE + CEDAZURIDINE, decitabine 35 mg + cedazuridine 100 mg tablet, 5 (Inqovi 35/100) |
| 11469P | DEXAMETHASONE, dexamethasone 700 microgram implant, 1 (Ozurdex) |
| 13439H | ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6) |
| 13590G | EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
| 8879H | EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
| 13379E | EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
| 8880J | EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra) |
| 14337N | EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5) |
| 11538G | GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi) |
| 11560K | GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi) |
| 13572H | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5) |
| 13545X | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5) |
| 13446Q | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25) |
| 12790E | LANADELUMAB, lanadelumab 300 mg/2 mL injection, 2 mL syringe (Takhzyro) |
| 9148L | LAPATINIB, lapatinib 250 mg tablet, 70 (Tykerb) |
| 13029R | LAROTRECTINIB, larotrectinib 25 mg capsule, 56 (Vitrakvi) |
| 13031W | LAROTRECTINIB, larotrectinib 100 mg capsule, 56 (Vitrakvi) |
| 13281B | LAROTRECTINIB, larotrectinib 20 mg/mL oral liquid, 2 x 50 mL (Vitrakvi) |
| 13507X | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) |
| 13477H | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) |
| 14408H | MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) |
| 8612G | MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) |
| 14135Y | MAVACAMTEN, mavacamten 2.5 mg capsule, 28 (Camzyos) |
| 14117B | MAVACAMTEN, mavacamten 5 mg capsule, 28 (Camzyos) |
| 14743Y | MOMELOTINIB, Momelotinib 100 mg tablet, 30 (Omjjara) |
| 14744B | MOMELOTINIB, Momelotinib 150 mg tablet, 30 (Omjjara) |
| 14770J | MOMELOTINIB, Momelotinib 200 mg tablet, 30 (Omjjara) |
| 13449W | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5) |
| 13964Y | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5) |
| 13943W | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10) |
| 13447R | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5) |
| 13601W | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5) |
| 13602X | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25) |
| 13508Y | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) |
| 13381G | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) |
| 13478J | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) |
| 13382H | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) |
| 13476G | PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25, ) |
| 13506W | PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) |
| 13534H | RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) |
| 10138N | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
| 11480F | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
| 11975G | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
| 11471R | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
| 11981N | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
| 1382R | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
| 10616R | RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi) |
| 10927D | RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi) |
| 10615Q | RUXOLITINIB, ruxolitinib 15 mg tablet, 56 (Jakavi) |
| 10617T | RUXOLITINIB, ruxolitinib 20 mg tablet, 56 (Jakavi) |
| 11123K | SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 24/26, Valtresto) |
| 13570F | SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 24/26, Valtresto) |
| 11131W | SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 49/51, Valtresto) |
| 13511D | SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 49/51, Valtresto) |
| 11122J | SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 97/103, Valtresto) |
| 13445P | SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 97/103, Valtresto) |
| 12321L | SECUKINUMAB, secukinumab 150 mg/mL injection, 1 mL pen device (Cosentyx) |
| 11304Y | SONIDEGIB, sonidegib 200 mg capsule, 30 (Odomzo) |
| 14100D | TAFAMIDIS, tafamidis 61 mg capsule, 30 (Vyndamax) |
| 13483P | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 13515H | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 13450X | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 13451Y | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) |
| 13546Y | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5) |
| 13574K | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5) |
| 13607E | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25) |
| 13594L | TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) |
| 13591H | TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) |
| 13350P | UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq) |
| 13393X | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5) |
| 13606D | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5) |
| 13453C | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25) |
| 13517K | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) |
| 9481B | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) |
| 13455E | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) |
| 9482C | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) |
| 11070P | VISMODEGIB, vismodegib 150 mg capsule, 28 (Erivedge) |
| 11138F | VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza) |
| 11141J | VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza) |
Alteration – Restriction Level
| From | To | ||
| 9375K | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80) | restricted | unrestricted |
| 9376L | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160) | restricted | unrestricted |
| 5459H | AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320) | restricted | unrestricted |
| 9377M | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160) | restricted | unrestricted |
| 5460J | AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320) | restricted | unrestricted |
| 8504N | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz) | restricted | unrestricted |
| 9314F | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz) | restricted | unrestricted |
| 9315G | CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz) | restricted | unrestricted |
| 8477E | ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6) | restricted | unrestricted |
| 8624X | EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5) | restricted | unrestricted |
| 8404H | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5) | restricted | unrestricted |
| 8405J | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5) | restricted | unrestricted |
| 2136K | IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25) | restricted | unrestricted |
| 9144G | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) | restricted | unrestricted |
| 9145H | LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) | restricted | unrestricted |
| 14408H | MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) | restricted | streamlined |
| 8612G | MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) | restricted | streamlined |
| 5292M | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5) | restricted | unrestricted |
| 5293N | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5) | restricted | unrestricted |
| 5294P | OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10) | restricted | unrestricted |
| 2161R | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5) | restricted | unrestricted |
| 2166B | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5) | restricted | unrestricted |
| 2170F | OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25) | restricted | unrestricted |
| 9346X | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) | restricted | unrestricted |
| 9347Y | PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) | restricted | unrestricted |
| 9348B | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) | restricted | unrestricted |
| 9349C | PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) | restricted | unrestricted |
| 8449Q | PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25, ) | restricted | unrestricted |
| 2845R | PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) | restricted | unrestricted |
| 2629J | RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) | restricted | unrestricted |
| 8978M | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) | restricted | unrestricted |
| 8979N | TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) | restricted | unrestricted |
| 8980P | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) | restricted | unrestricted |
| 8981Q | TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) | restricted | unrestricted |
| 8622T | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5) | restricted | unrestricted |
| 8623W | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5) | restricted | unrestricted |
| 9381R | TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25) | restricted | unrestricted |
| 9387C | TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) | restricted | unrestricted |
| 2857J | TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) | restricted | unrestricted |
| 9372G | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5) | restricted | unrestricted |
| 9373H | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5) | restricted | unrestricted |
| 9374J | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25) | restricted | unrestricted |
| 9481B | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) | restricted | unrestricted |
| 9482C | VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) | restricted | unrestricted |
Alteration – Manufacturer Code
| From | To | ||
| 15206H | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15207J | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15213Q | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15214R | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15215T | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15217X | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15218Y | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 15219B | Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe | SZ | ZE |
| 13929D | Dutasteride/Tamsulosin Viatris 500/400 – DUTASTERIDE + TAMSULOSIN, dutasteride 500 microgram + tamsulosin hydrochloride 400 microgram modified release capsule, 30 | HF | AF |
| 5490Y | Dutasteride/Tamsulosin Viatris 500/400 – DUTASTERIDE + TAMSULOSIN, dutasteride 500 microgram + tamsulosin hydrochloride 400 microgram modified release capsule, 30 | HF | AF |
Supply Only
Supply Only - Period Commencing
|
8408M |
BECLOMETASONE, beclometasone dipropionate 50 microgram/actuation breath activated inhalation, 200 actuations (Qvar 50 Autohaler) |
|
14378R |
BECLOMETASONE, beclometasone dipropionate 50 microgram/actuation breath activated inhalation, 200 actuations (Qvar 50 Autohaler) |
|
11245W |
GLYCOMACROPEPTIDE FORMULA WITH DOCOSAHEXAENOIC ACID AND LOW PHENYLALANINE, glycomacropeptide formula with docosahexaenoic acid and low phenylalanine powder for oral liquid, 30 x 27 g sachets (PKU Sphere15) |
|
9224L |
INSULIN GLULISINE, insulin glulisine 100 units/mL injection, 1 x 10 mL vial (Apidra) |
|
2530E |
LINCOMYCIN, lincomycin 600 mg/2 mL injection, 5 x 2 mL vials (Lincocin) |
|
5144R |
LINCOMYCIN, lincomycin 600 mg/2 mL injection, 5 x 2 mL vials (Lincocin) |
|
2481N |
OXYCODONE, oxycodone 30 mg suppository, 12 (Proladone) |
|
5194J |
OXYCODONE, oxycodone 30 mg suppository, 12 (Proladone) |
|
2000G |
SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Salbutamol Cipla) |
Supply Only
Supply Only - Period Ending
|
11204Q |
ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
|
11207W |
ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
|
11223Q |
ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
|
11196G |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
|
11198J |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
|
11201M |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
|
11208X |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
|
11222P |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
|
11224R |
ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
Advance Notices
1 May 2026
Deletion – Brand
| 8594H | AMISULPRIDE-WGR, WG – AMISULPRIDE, amisulpride 100 mg tablet, 30 |
| 10414D | Eliquis, BQ – APIXABAN, apixaban 5 mg tablet, 28 |
| 8318T | NOUMED CLARITHROMYCIN, VO – CLARITHROMYCIN, clarithromycin 250 mg tablet, 14 |
| 12458Q | Desmopressin Nasal Spray USP (Apotex), DZ – DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations |
| 12459R | Desmopressin Nasal Spray USP (Apotex), DZ – DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations |
| 13280Y | Rythmodan (Canada), OJ – DISOPYRAMIDE, disopyramide 100 mg capsule, 84 |
| 13469X | Fenofibrate Cipla, LR – FENOFIBRATE, fenofibrate 48 mg tablet, 60 |
| 9022W | Fenofibrate Cipla, LR – FENOFIBRATE, fenofibrate 48 mg tablet, 60 |
| 10416F | GLATIRAMER ACETATE-TEVA, EV – GLATIRAMER ACETATE, glatiramer acetate 40 mg/mL injection, 12 x 1 mL syringes |
| 15003P | Methylphenidate Orifarm 60 mg (Denmark), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 60 mg modified release capsule, 30 |
| 15016H | Methylphenidate Orifarm 20 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 20 mg modified release capsule, 30 |
| 15026W | Methylphenidate Orifarm 10 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 10 mg modified release capsule, 30 |
| 15046X | Methylphenidate Orifarm 30 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 30 |
| 14473R | NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 30 mg tablet, 30 |
| 8513C | NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 30 mg tablet, 30 |
| 14854T | Pediapharm Naproxen Suspension 25 mg/mL (Medexus Pharma, Canada), KQ – NAPROXEN, naproxen 125 mg/5 mL oral liquid, 474 mL |
| 13898L | Actos, GQ – PIOGLITAZONE, pioglitazone 15 mg tablet, 28 |
| 14057W | Actos, GQ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28 |
| 8694N | Actos, GQ – PIOGLITAZONE, pioglitazone 15 mg tablet, 28 |
| 8696Q | Actos, GQ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28 |
| 14458Y | RASAGILINE-WGR, WG – RASAGILINE, rasagiline 1 mg tablet, 30 |
| 1952R | RASAGILINE-WGR, WG – RASAGILINE, rasagiline 1 mg tablet, 30 |
| 2285G | NOUMED TERBINAFINE, VO – TERBINAFINE, terbinafine 250 mg tablet, 42 |
| 2804N | NOUMED TERBINAFINE, VO – TERBINAFINE, terbinafine 250 mg tablet, 42 |
| 9009E | Navelbine, FB – VINORELBINE, vinorelbine 20 mg capsule, 1 |
| 9010F | Navelbine, FB – VINORELBINE, vinorelbine 30 mg capsule, 1 |
1 June 2026
Deletion – Brand
| 14408H | Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets |
| 8612G | Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets |
Palliative Care
Advance Notices
1 May 2026
Deletion – Brand
| 14867L | Pediapharm Naproxen Suspension 25 mg/mL (Medexus Pharma, Canada), KQ – NAPROXEN, naproxen 125 mg/5 mL oral liquid, 474 mL |
1 June 2026
Deletion – Brand
| 5389P | Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets |
Highly Specialised Drugs Program (Private Hospital)
Additions
Addition – Item
| 15274X | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15290R | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15296C | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15298E | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15308Q | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15321J | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15328R | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15285L | ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq) |
| 15302J | ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq) |
| 15304L | ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq) |
| 15315C | ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq) |
| 15284K | ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq) |
| 15294Y | ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq) |
Addition – Brand
| 12138W | SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90 |
| 9605M | SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90 |
Deletions
Deletion – Brand
| 10417G | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 21 |
| 12668R | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 14 |
| 10386P | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 21 |
| 12661J | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 14 |
Deletion – Note
| 14771K | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 14776Q | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Deletion – Restriction
| 14771K | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 14776Q | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Alterations
Alteration – Note
| 13813B | POMALIDOMIDE, pomalidomide 1 mg capsule, 14 (Pomolide) |
| 13814C | POMALIDOMIDE, pomalidomide 1 mg capsule, 21 (Pomalidomide Sandoz, Pomolide) |
| 13811X | POMALIDOMIDE, pomalidomide 2 mg capsule, 21 (Pomalidomide Sandoz, Pomolide) |
| 13812Y | POMALIDOMIDE, pomalidomide 2 mg capsule, 14 (Pomolide) |
| 10417G | POMALIDOMIDE, pomalidomide 3 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide) |
| 12668R | POMALIDOMIDE, pomalidomide 3 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide) |
| 10386P | POMALIDOMIDE, pomalidomide 4 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide) |
| 12661J | POMALIDOMIDE, pomalidomide 4 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide) |
| 15234T | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15235W | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15263H | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15254W | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15259D | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15264J | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Alteration – Restriction
| 9621J | ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia) |
| 12201E | AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 9648T | AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 12180C | AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 9649W | AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 14189T | ANIFROLUMAB, anifrolumab 300 mg/2 mL injection, 2 mL vial (Saphnelo) |
| 13317X | AVATROMBOPAG, avatrombopag 20 mg tablet, 30 (Doptelet) |
| 11996J | BENRALIZUMAB, benralizumab 30 mg/mL injection, 1 mL pen device (Fasenra Pen) |
| 12148J | BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX) |
| 6429J | BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX) |
| 12146G | BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris) |
| 6430K | BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris) |
| 12316F | DUPILUMAB, dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (Dupixent) |
| 12294C | DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent) |
| 12310X | DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent) |
| 14115X | ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade) |
| 5827Q | ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade) |
| 14107L | ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade) |
| 5828R | ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade) |
| 10111E | EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri) |
| 10129D | EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri) |
| 6456T | ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis) |
| 10184B | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11399Y | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11412P | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11489Q | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11498E | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11590B | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 6397Q | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 6448J | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 6496X | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 9613Y | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 9617E | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 9674E | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 10134J | MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit) |
| 12135Q | MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit) |
| 12052H | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 13242Y | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 13786N | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 13791W | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15234T | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15235W | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15263H | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 13784L | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 13802K | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15254W | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15259D | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15264J | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 11009K | RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas) |
| 11031N | RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas) |
| 10990K | RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas) |
| 11028K | RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas) |
| 10974N | RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas) |
| 11046J | RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas) |
| 11012N | RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas) |
| 11045H | RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas) |
| 10985E | RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas) |
| 11052Q | RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas) |
| 12959C | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 13632L | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 13639W | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 9697J | ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate) |
| 9699L | ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate) |
| 12138W | SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20) |
| 9605M | SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20) |
| 11795T | TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive) |
| 11806J | TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive) |
| 10073E | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 12787B | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 12811G | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 9671B | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 10071C | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 12766X | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 12795K | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 9672C | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 10078K | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 12805Y | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 12810F | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 9673D | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
Supply Only
Supply Only – Period Commencing
|
14804E |
EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava) |
Advance Notices
1 May 2026
Deletion – Brand
| 12146G | Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60 |
| 6430K | Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60 |
| 10549F | Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 10558Q | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 10566D | Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 11894B | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
Highly Specialised Drugs Program (Public Hospital)
Additions
Addition – Item
| 15273W | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15275Y | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15281G | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15297D | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15309R | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15310T | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15327Q | RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi) |
| 15276B | ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq) |
| 15316D | ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq) |
| 15286M | ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq) |
| 15303K | ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq) |
| 15287N | ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq) |
| 15325N | ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq) |
Addition – Brand
| 12144E | SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90 |
| 9547L | SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90 |
Deletion – Brand
| 10406Q | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 21 |
| 12666P | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 14 |
| 10387Q | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 21 |
| 12665N | Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 14 |
Deletion – Note
| 14784D | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 14758R | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Deletion – Restriction
| 14784D | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 14758R | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Alterations
Alteration – Note
| 13794B | POMALIDOMIDE, pomalidomide 1 mg capsule, 14 (Pomolide) |
| 13803L | POMALIDOMIDE, pomalidomide 1 mg capsule, 21 (Pomalidomide Sandoz, Pomolide) |
| 13788Q | POMALIDOMIDE, pomalidomide 2 mg capsule, 21 (Pomalidomide Sandoz, Pomolide) |
| 13815D | POMALIDOMIDE, pomalidomide 2 mg capsule, 14 (Pomolide) |
| 10406Q | POMALIDOMIDE, pomalidomide 3 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide) |
| 12666P | POMALIDOMIDE, pomalidomide 3 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide) |
| 10387Q | POMALIDOMIDE, pomalidomide 4 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide) |
| 12665N | POMALIDOMIDE, pomalidomide 4 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide) |
| 15244H | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15245J | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15255X | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15225H | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15246K | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15258C | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
Alteration – Restriction
| 5605B | ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia) |
| 12212R | AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 5607D | AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 12186J | AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 5608E | AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris) |
| 14195D | ANIFROLUMAB, anifrolumab 300 mg/2 mL injection, 2 mL vial (Saphnelo) |
| 13313Q | AVATROMBOPAG, avatrombopag 20 mg tablet, 30 (Doptelet) |
| 11995H | BENRALIZUMAB, benralizumab 30 mg/mL injection, 1 mL pen device (Fasenra Pen) |
| 12145F | BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX) |
| 5618Q | BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX) |
| 12149K | BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris) |
| 5619R | BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris) |
| 12318H | DUPILUMAB, dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (Dupixent) |
| 12293B | DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent) |
| 12302L | DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent) |
| 14144K | ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade) |
| 5825N | ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade) |
| 14121F | ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade) |
| 5826P | ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade) |
| 10130E | EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri) |
| 10117L | EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri) |
| 5751Q | ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis) |
| 10196P | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11389K | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11424G | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11482H | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11497D | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 11606W | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 5753T | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 5754W | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 5756Y | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 5757B | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 5758C | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 9654D | INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis) |
| 10136L | MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit) |
| 12147H | MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit) |
| 12064Y | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 13237Q | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 12942E | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [4 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12951P | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12956X | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [7 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12964H | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [8 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12975X | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [6 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12976Y | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12977B | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [3 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12940C | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [3 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12941D | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [6 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12950N | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [4 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12952Q | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [7 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12955W | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [8.3 mL vial], 1 pack (Zolgensma) |
| 12957Y | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma) |
| 12958B | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12963G | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5 x 8.3 mL vials], 1 pack (Zolgensma) |
| 12961E | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 3 x 8.3 mL vials (Zolgensma) |
| 12971Q | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 4 x 8.3 mL vials (Zolgensma) |
| 12962F | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 5 x 8.3 mL vials (Zolgensma) |
| 12973T | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 6 x 8.3 mL vials (Zolgensma) |
| 12954T | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 7 x 8.3 mL vials (Zolgensma) |
| 12974W | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 8 x 8.3 mL vials (Zolgensma) |
| 12949M | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 9 x 8.3 mL vials (Zolgensma) |
| 13785M | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 13808R | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15244H | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15245J | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 15255X | RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris) |
| 13797E | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 13809T | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15225H | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15246K | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 15258C | RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris) |
| 11001B | RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas) |
| 11040C | RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas) |
| 10976Q | RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas) |
| 11054T | RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas) |
| 10989J | RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas) |
| 11047K | RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas) |
| 10984D | RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas) |
| 11038Y | RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas) |
| 11002C | RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas) |
| 11057Y | RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas) |
| 12943F | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 13633M | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 13654P | RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi) |
| 9696H | ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate) |
| 9698K | ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate) |
| 12144E | SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20) |
| 9547L | SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20) |
| 11793Q | TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive) |
| 11794R | TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive) |
| 10081N | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 12775J | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 12794J | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 9657G | TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra) |
| 10058J | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 12791F | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 12796L | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 9658H | TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra) |
| 10072D | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 12763R | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 12802T | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
| 9659J | TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra) |
Supply Only
Supply Only – Period Commencing
|
14805F |
EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava) |
Advance Notices
1 May 2026
Deletion – Brand
| 12149K | Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60 |
| 5619R | Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60 |
| 10533J | Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 10543X | Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 10550G | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 11893Y | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
Highly Specialised Drugs Program (Community Access)
Additions
Addition – Item
| 15334C | EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava) |
Deletions
Deletion – Brand
| 10310P | Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30 |
| 11992E | Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30 |
Advance Notices
1 May 2026
Deletion – Brand
| 11501H | Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 11512X | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 11537F | Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
| 11896D | Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack |
Botulinum Toxin Program
Additions
Addition – Item
| 15307P | INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 units injection, 1 vial (Xeomin) |
| 15319G | INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 units injection, 1 vial (Xeomin) |
Growth Hormone Program
Alterations
Alteration – Restriction
| 13116H | MECASERMIN, mecasermin 10 mg/mL injection, 4 mL vial (Increlex) |
| 13119L | SOMATROGON, somatrogon 24 mg/1.2 mL injection, 1.2 mL pen device (Ngenla) |
| 13130C | SOMATROGON, somatrogon 24 mg/1.2 mL injection, 1.2 mL pen device (Ngenla) |
| 13120M | SOMATROGON, somatrogon 60 mg/1.2 mL injection, 1.2 mL pen device (Ngenla) |
| 13125T | SOMATROGON, somatrogon 60 mg/1.2 mL injection, 1.2 mL pen device (Ngenla) |
Alteration – Manufacturer Code
| From | To | ||
| 13116H | Increlex – MECASERMIN, mecasermin 10 mg/mL injection, 4 mL vial | IS | JW |
IVF Program
Additions
Addition – Brand
| 10930G | Progesterone BNM 200, BZ – PROGESTERONE, progesterone 200 mg pessary, 42 |
Addition – Equivalence Indicator
| 10930G | Utrogestan, HB – PROGESTERONE, progesterone 200 mg pessary, 42 |
Repatriation Pharmaceutical Benefits
Alterations
Alteration – Manufacturer Code
| From | To | ||
| 4452H | Selsun – SELENIUM SULFIDE, selenium sulfide 2.5% shampoo, 125 mL | DQ | VZ |
Advance Notices
1 May 2026
Deletion – Brand
| 10177P | Colaxsen, AS – DOCUSATE + SENNOSIDE B, docusate sodium 50 mg + sennoside B 8 mg tablet, 90 |
Efficient Funding of Chemotherapy (Private Hospital)
Additions
Addition – Item
| 15283J |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 15330W |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 15277C |
MOGAMULIZUMAB, mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO) |
| 15306N |
MOGAMULIZUMAB, mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO) |
| 15210M |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 15299F |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 15335D |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Addition – Note
| 11673J | INOTUZUMAB OZOGAMICIN, inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa) |
Deletions
Deletion – Note
| 14260M |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
Alterations
Alteration – Note
| 11492W | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 12121Y | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13114F | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13645E | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Alteration – Restriction
| 11940K |
ATEZOLIZUMAB, atezolizumab 840 mg/14 mL injection, 14 mL vial (Tecentriq) |
| 11309F |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 11792P |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 11927R |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 10172J |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 11651F |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 12656D |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 13160P |
CEMIPLIMAB, cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo) |
| 13779F |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 11673J |
INOTUZUMAB OZOGAMICIN, inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa) |
| 14260M |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
| 11492W |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 12121Y |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13114F |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13267G |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13645E |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Alteration – Restriction Level
| From | To | ||
| 14260M |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
authority-required | streamlined |
Efficient Funding of Chemotherapy (Public Hospital)
Additions
Addition – Item
| 15292W |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 15324M |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 15271R |
MOGAMULIZUMAB, mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO) |
| 15318F |
MOGAMULIZUMAB, mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO) |
| 15208K |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 15314B |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 15329T |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Addition – Note
| 11696N | INOTUZUMAB OZOGAMICIN, inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa) |
Deletions
Deletion – Note
| 14231B |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
Alterations
Alteration – Note
| 11494Y | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 12119W | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13131D | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13635P | PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Alteration – Restriction
| 11931Y |
ATEZOLIZUMAB, atezolizumab 840 mg/14 mL injection, 14 mL vial (Tecentriq) |
| 11284X |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 11807K |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 11926Q |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
| 10166C |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 11660Q |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 12646N |
BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
| 13169D |
CEMIPLIMAB, cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo) |
| 13775B |
DURVALUMAB, durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi); durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi) |
| 11696N |
INOTUZUMAB OZOGAMICIN, inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa) |
| 14231B |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
| 11494Y |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 12119W |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13131D |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13254N |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
| 13635P |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Alteration – Restriction Level
| From | To | ||
| 14231B |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
authority-required | streamlined |
Related Pharmaceutical Benefits for Public Hospital use
Additions
Addition – Item
| 15301H | ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio) |
| 15331X | ELRANATAMAB, Elranatamab 76 mg/1.9 mL injection, 1.9 mL vial (Elrexfio) |
Addition – Brand
| 5968D | Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 4 |
Deletions
Deletion – Item
| 5899L | GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril) |
Deletion – Brand
| 11103J | Emend IV, MK – FOSAPREPITANT, fosaprepitant 150 mg injection, 1 vial |
Alterations
Alteration – Restriction
| 14250B | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 14289C | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 14298M | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
| 13201T | DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC) |




