Bonitas Chronic PMB Formulary D January 2023

BONITAS CHRONIC PMB FORMULARY D
January 2023
Formulary list may be subject to change. Please refer to the Bonitas Member Zone for the most recent version of the formularies.
Applicable to the BonCap Option
Reimbursement of all formulary items is subject to the Chronic Medicine Management clinical guidelines and protocols and the Bonitas
Reference Price List.
Nappi code Drug Name Active Ingredient Strength Drug Form

Asthma
Inhaled B2 agonists
878219 ASTHAVENT DP Salbutamol 200MCG CPS
849332 ASTHAVENT ECOHALER 200DOSE Salbutamol 100MCG INH
700715 ASTHAVENT ECOHALER CFC-FREE 300DOSE Salbutamol 100MCG INH
3003183 GLENBUTE 200 DOSE Salbutamol 100MCG INH
720723 VENTIMAX CFC FREE 200 DOSE Salbutamol 100MCG INH
Long acting B2 agonists
710307 FORATEC HFA 120DOSE Formoterol 12MCG/1DOSE INH
Inhaled corticosteroids
827061 BECEZE 50 200DOSE Beclometasone 50MCG INH
819638 BECLATE 200DOSE Beclometasone 100MCG INH
3004196 BECLOMETHASONE GLENMARK 200 DOSE Beclometasone 100MCG INH
897462 BUDEFLAM HFA 300DOSE Budesonide 100MCG INH
791423 PULMICORT TURBUHALER 200DOSE Budesonide 100MCG INH
705984 SYMBICORD 320/9MCG PER INHALATION 60DOSE Formoterol and budesonide 9MCG/320MCG INH
700173 SYMBICORD TURBOH 120DOSE 160MCG/4.5MCG Formoterol and budesonide 4.5MCG/160MCG INH
700172 SYMBICORD TURBOHALER 60DOSE 160MCG/4.5MC Formoterol and budesonide 4.5MCG/160MCG INH
720219 VANNAIR 160/4.5MCG PER INHALATION 120 DO Formoterol and budesonide 4.5MCG/160MCG INH
720218 VANNAIR 80/4.5MCG PER INHALATION 120 DOS Formoterol and budesonide 4.5MCG/80MCG INH
722934 DULERA 100/5UG 120 DOSE formoterol and mometasone 100MCG/5MCG INH
715190 SEREFLO 25/125 HFA 120 DOSE Salmeterol and fluticasone 25MCG/125MCG INH
721413 SEREFLO 25/125 HFA SYNCHROBREATHE 120 DO Salmeterol and fluticasone 25MCG/125MCG INH
721412 SEREFLO 25/50 HFA SYNCHROBREATHE 120 DOS Salmeterol and fluticasone 25MCG/50MCG INH
Oral Xanthines
770388 THEOPHEN Theophylline SYR
788368 THEOPHYLLINE ANYDROUS 200 KIARA (WAS SAN Theophylline 200MG SRT
788376 THEOPHYLLINE ANHYDROUS 300 KIARA (WAS SA Theophylline 300MG SRT
Oral Corticosteroids
716381 ADCO PREDNISOLONE Prednisolone 15MG/5ML SYR
814407 CAPSOID Prednisolone 5MG TAB
800155 LENISOLONE Prednisolone 5MG TAB
752304 PANAFCORT Prednisone 5MG TAB
818267 TROLIC Prednisone 5MG TAB
Devices
577802 DP HALER DEVICE UNI
Addison's disease
726540 FLORINEF ACETATE Fludrocortisone .1MG TAB
716693 COVOCORT Hydrocortisone 10MG TAB
Bipolar Mood Disorder
Mood Stabilisers
712493 DEGRANOL Carbamazepine 200MG TAB
3001174 GULF CARBAMAZEPINE Carbamazepine 200MG TAB
779652 TEGRETOL CR Carbamazepine 200MG SRT
769401 TEGRETOL S Carbamazepine 100MG/5ML SUS
703220 ZECARB Carbamazepine 200MG TAB
715962 ZEPTOL Carbamazepine 200MG TAB
710389 DYNA-LAMOTRIGINE Lamotrigine 100MG TAB
704381 EPITEC Lamotrigine 100MG TAB
722726 GIROTEC Lamotrigine 100MG TAB
710885 LAMIDUS Lamotrigine 50MG TAB
704488 LAMITOR Lamotrigine 100MG TAB
3002171 LAMOROLA Lamotrigine 100MG TAB
3004312 LAMOTRIGINE UNICHEM Lamotrigine 100MG TAB
3000451 SERINEM Lamotrigine 100MG TAB
712078 CAMCOLIT Lithium 250MG TAB
712086 CAMCOLIT Lithium 400MG TAB
715980 CONVULEX Valproic acid 150MG CAP
781541 CONVULEX Valproic acid 250MG/5ML SYR
821578 EPILIM CRUSHABLE Valproic acid 100MG TAB
780545 EPILIM SUGAR FREE Valproic acid 200MG/5ML SYR
721460 EPROLEP CR 200 Valproic acid 200MG SRT
718465 NAVALPRO CR Valproic acid 200MG SRT
3005165 RUBILIM CR Valproic acid 200MG SRT
720026 VALEPTIC CR Valproic acid 300MG SRT
Antipsychotic agents
3005147 ALEBON Aripiprazole 10MG TAB
3002238 APRIPENT Aripiprazole 5MG TAB
3002936 APRIZON Aripiprazole 15MG TAB
3003431 ARIDUS Aripiprazole 10MG TAB
3004215 ARIPIPRAZOLE MYLAN Aripiprazole 15MG TAB
3004269 ARIPIPRAZOLE TEVA Aripiprazole 10MG TAB
723963 ARIZOFY Aripiprazole 15MG TAB
3003848 PRIPTRIN Aripiprazole 15MG TAB
3004439 THRYVE Aripiprazole 10MG TAB
735884 LARGACTIL Chlorpromazine 100MG TAB
717082 ASPEN CLOZAPINE Clozapine 100MG TAB
700178 CLOMENT Clozapine 100MG TAB
705845 CLOZAPINE OETHMAAN Clozapine 100MG TAB
726672 FLUANXOL DEPOT 1ML Flupentixol 20MG/1ML INJ
744328 MODECATE+SYRINGE 1ML Fluphenazine 25MG/1ML INJ
719549 GULF HALOPERIDOL Haloperidol 5MG TAB
730335 HALOPERIDOL 1.5 OETHMAAN Haloperidol 1.5MG TAB
730327 HALOPERIDOL 5 OETHMAAN Haloperidol 5MG TAB
763411 SERENACE Haloperidol .5MG CAP
3005271 ALONZA Olanzapine 10MG TAB
3005269 ALONZA Olanzapine 2.5MG TAB
3004396 OLANDUS Olanzapine 2.5MG TAB
721389 OLAWIN Olanzapine 10MG TAB
721385 OLAWIN Olanzapine 2.5MG TAB
715996 OLEANZ Olanzapine 10MG TAB
723747 ZOLANZ Olanzapine 10MG TAB
3003598 AROQUET Quetiapine 100MG TAB
716051 DOPAQUEL Quetiapine 100MG TAB
716670 MYLAN QUETIAPINE Quetiapine 100MG TAB
718353 PSYQUET Quetiapine 100MG TAB
721745 QUETIAPINE BIOTECH Quetiapine 100MG TAB
3004145 QUETZ Quetiapine 100MG TAB
721710 SPEC QUETIAPINE Quetiapine 150MG TAB
716647 TRUVALIN Quetiapine 100MG TAB
3000378 ZIMBIQUET Quetiapine 100MG TAB
3000496 ASPEN RISPERIDONE Risperidone 1MG/1ML SOL
3002921 PMI RISPERIDONE Risperidone 1MG/1ML SOL
717996 RISNIA Risperidone .5MG TAB
717997 RISNIA Risperidone 1MG TAB
714101 RISPACOR Risperidone .5MG TAB
713967 RISPACOR Risperidone 1MG TAB
718226 RISPEVON Risperidone 1MG TAB
723314 RISPIDE Risperidone .5MG TAB
723315 RISPIDE Risperidone 1MG TAB
711534 RISPONZ Risperidone 2MG TAB
711511 ZOXADON Risperidone .5MG TAB
711512 ZOXADON Risperidone 1MG TAB
705386 BIO-SULPIRIDE Sulpiride 200MG TAB
766410 STELAZINE Trifluoperazine 1MG TAB
786934 CLOPIXOL ACUPHASE 1ML AMPOULE Zuclopenthixol 50MG INJ
714852 CLOPIXOL DEPOT Zuclopenthixol 200MG/1ML INJ
Antidepressants
3005127 AMDERIP Amitriptyline 10MG TAB
3002709 AMITRIPTYLINE 10 MG AUSTELL Amitriptyline 10MG TAB
784230 AMITRIPTYLINE HCL KIARA (WAS SANDOZ AMIT Amitriptyline 25MG TAB
718746 GULF AMITRIPTYLINE Amitriptyline 25MG TAB
772003 TREPILINE Amitriptyline 10MG TAB
3005143 VEIKIRIN Amitriptyline 10MG TAB
702769 ADCO-TALOMIL Citalopram 20MG TAB
713584 ARROW CITALOPRAM Citalopram 40MG TAB
707397 AUSTELL-CITALOPRAM Citalopram 40MG TAB
3003785 BIO CITALOPRAM Citalopram 10MG TAB
3000328 CITALOPRAM 20 OETHMAAN Citalopram 20MG TAB
704328 DEPRAMIL Citalopram 20MG TAB
3001172 GULF CITALOPRAM Citalopram 20MG TAB
713356 RECITA Citalopram 20MG TAB
719547 ACCORD ESCITALOPRAM Escitalopram 10MG TAB
719548 ACCORD ESCITALOPRAM Escitalopram 20MG TAB
720377 DOLIN Escitalopram 10MG TAB
720378 DOLIN Escitalopram 20MG TAB
3000919 ESETAM Escitalopram 10MG TAB
3000922 ESETAM Escitalopram 20MG TAB
710374 LEXAMIL Escitalopram 5MG TAB
894303 DEPROZAN Fluoxetine 20MG CAP
838713 FLUOXETINE 20 OETHMAAN Fluoxetine 20MG CAP
719658 PROLAX Fluoxetine 20MG CAP
705064 ZYDUS FLUOXETINE Fluoxetine 20MG CAP
724661 ETHIPRAMINE Imipramine 10MG TAB
771139 TOFRANIL Imipramine 25MG TAB
Bronchiectasis
704443 ALLMOX Amoxicillin 250MG CAP
704444 ALLMOX Amoxicillin 500MG CAP
704401 AMOXICAP Amoxicillin 250MG CAP
707499 AUSTELL-AMOXICILLIN Amoxicillin 250MG CAP
705637 AUSTELL-AMOXICILLIN Amoxicillin 500MG CAP
815268 IPCAMOX Amoxicillin 250MG CAP
705709 MYMOX Amoxicillin 500MG CAP
824879 RANMOXY Amoxicillin 500MG CAP
722844 DOXYCYCLINE BIOTECH Doxycycline 100MG CAP
714192 DOXYTET Doxycycline 100MG CAP
704095 ILVITRIM Sulfamethoxazole and trimethoprim 480MG TAB
867977 NUCOTRIM Sulfamethoxazole and trimethoprim 480MG TAB
789836 TRIMETHOX Sulfamethoxazole and trimethoprim 480MG TAB
3000247 CO-TRIMOXAZOLE ASCENDIS DS Sulfamethoxazole and trimethoprim 960MG TAB
782793 CO-TRIMOXAZOLE 960 BIOTECH Sulfamethoxazole and trimethoprim 960MG TAB
3004712 CO-TRIMOXAZOLE DS PHARMC Sulfamethoxazole and trimethoprim 960MG TAB
721778 DUROBAC 'DS' Sulfamethoxazole and trimethoprim 960MG TAB
Chronic Obstructive Pulmonary Disease
Inhaled B2 agonists
878219 ASTHAVENT DP Salbutamol 200MCG CPS
849332 ASTHAVENT ECOHALER 200DOSE Salbutamol 100MCG INH
700715 ASTHAVENT ECOHALER CFC-FREE 300DOSE Salbutamol 100MCG INH
3003183 GLENBUTE 200 DOSE Salbutamol 100MCG INH
720723 VENTIMAX CFC FREE 200 DOSE Salbutamol 100MCG INH
Long acting B2 agonists
710307 FORATEC HFA 120DOSE Formoterol 12MCG/1DOSE INH
Inhaled corticosteroids
827061 BECEZE 50 200DOSE Beclometasone 50MCG INH
705984 SYMBICORD 320/9MCG PER INHALATION 60DOSE Formoterol and budesonide 9MCG/320MCG INH
700173 SYMBICORD TURBOH 120DOSE 160MCG/4.5MCG Formoterol and budesonide 4.5MCG/160MCG INH
700172 SYMBICORD TURBOHALER 60DOSE 160MCG/4.5MC Formoterol and budesonide 4.5MCG/160MCG INH
720219 VANNAIR 160/4.5MCG PER INHALATION 120 DO Formoterol and budesonide 4.5MCG/160MCG INH
720218 VANNAIR 80/4.5MCG PER INHALATION 120 DOS Formoterol and budesonide 4.5MCG/80MCG INH
721412 SEREFLO 25/50 HFA SYNCHROBREATHE 120 DOS Salmeterol and fluticasone 25MCG/50MCG INH
Anticholinergic inhalers (short acting)
706543 ATROVENT HFA 200DOSE Ipratropium bromide 20MCG INH
715574 IPVENT HFA 200 DOSE Ipratropium bromide 40MCG/1DOSE INH
Oral Xanthines
788368 THEOPHYLLINE ANYDROUS 200 KIARA (WAS SAN Theophylline 200MG SRT
788376 THEOPHYLLINE ANHYDROUS 300 KIARA (WAS SA Theophylline 300MG SRT
Influenza vaccine
711345 FLUVAX PRE-FILLED SYRINGE 0.5ML Influenza, inactivated, whole virus VAC
732826 INFLUVAC 0.5ML Influenza, inactivated, whole virus VAC
813338 VAXIGRIP SINGLE DOSE 0.5ML PRE-FILLED Influenza, inactivated, whole virus VAC
3001925 PNEUMOVAX 23 SINGLE DOSE PRE-FILLED SYRI Pneumococcus, purified polysaccharides antigen VAC
755826 PNEUMOVAX 23 SINGLE DOSE VIAL 0.5ML Pneumococcus, purified polysaccharides antigen VAC
Cardiac failure/ Cardiomyopathy
Anticoagulants
778362 ASPEN WARFARIN Warfarin 5MG TAB
709906 CIPLA-WARFARIN Warfarin 1MG TAB
Diuretics
857769 DEFULIDE Furosemide 40MG TAB
716048 DINO-RETIC Furosemide 40MG TAB
705967 DIURESIX Furosemide 40MG TAB
821845 FUROBE Furosemide 40MG TAB
3004521 FUROSEMIDE 40 UNIMED Furosemide 40MG TAB
3001173 GULF HYDROCHLOROTHIAZIDE Hydrochlorothiazide 25MG TAB
890470 HEXAZIDE Hydrochlorothiazide 25MG TAB
710437 RIDAQ Hydrochlorothiazide 12.5MG TAB
774057 URIREX-K 50MG/300MG Hydrochlorothiazide and potassium TAB
780618 ADCO-RETIC 50MG/5MG Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
719984 DEZRETIC 5MG/50MG Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
706531 SPEC-CO-AMILORIDE Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
819417 ADCO-DAPAMAX Indapamide 2.5MG TAB
700820 CATEXAN Indapamide 2.5MG TAB
710313 CIPLA-INDAPAMIDE Indapamide 2.5MG TAB
765910 SPIRACTIN Spironolactone 25MG TAB
769665 SPIRONOLACTONE 25 KIARA (WAS SANDOZ SPIR Spironolactone 25MG TAB
Potassium supplementation
755753 PLENISH K Potassium chloride 600MG TAB
3001820 PLENISH-K SR Potassium chloride 600MG SRT
719270 POTASSIUM CHLORIDE UNICORN Potassium chloride 600MG TAB
702947 SANDOZ K-600 Potassium chloride 600MG TAB
764396 SLOW-K Potassium chloride 600MG TAB
718911 ULTIPOT Potassium chloride 600MG SRT
ACE inhibitors
836451 ADCO-CAPTOMAX Captopril 25MG TAB
852333 BIO-CAPTOPRIL Captopril 25MG TAB
837628 CAPTOHEXAL Captopril 12.5MG TAB
852619 MYLAN CAPTOPRIL Captopril 25MG TAB
862053 ADCO-ZETOMAX Lisinopril 10MG TAB
712598 AUSTELL-LISINOPRIL Lisinopril 10MG TAB
3000547 LISO Lisinopril 10MG TAB
714678 LIZRO Lisinopril 10MG TAB
700692 SINOPREN Lisinopril 10MG TAB
704597 ADCO-ZETOMAX CO 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB
716120 AURO-LISINOPRIL CO Lisinopril and diuretics 10MG/12.5MG TAB
716943 LISINOPRIL CO UNICORN 10MG/12.5MG Lisinopril and diuretics 10MG/12.5MG TAB
704437 LISORETIC 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB
707292 LISOZIDE 10MG/12.5MG Lisinopril and diuretics 10MG/12.5MG TAB
Angiotensin Receptor Blockers
716495 ANNIN Losartan 100MG TAB
717069 AUSTELL LOSARTAN Losartan 100MG TAB
3003797 LOSARTAN ACCORD Losartan 100MG TAB
3000577 LOSARTAN COMP BIOTECH 100MG/25MG Losartan and diuretics 100MG/25MG TAB
3000576 LOSARTAN COMP BIOTECH 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB
716515 SARTOC-CO 100MG/25MG Losartan and diuretics 100MG/25MG TAB
715064 SARTOC-CO 50/12.5 Losartan and diuretics 50MG/12.5MG TAB
Beta-blockers
786578 ADCO-ATENOLOL Atenolol 50MG TAB
704653 B-BLOCK Atenolol 50MG TAB
705872 TENOPRESS Atenolol 25MG TAB
786217 TENCHLOR 100MG/25MG Atenolol and other diuretics 100MG/25MG TAB
807591 TENCHLOR HS 50MG/12.5MG Atenolol and other diuretics 50MG/12.5MG TAB
827991 SOTAHEXAL Sotalol 80MG TAB
Alpha-beta blockers
700168 CARLOC Carvedilol 12.5MG TAB
897117 CARLOC Carvedilol 25MG TAB
3000330 CARVEDILOL 12.5 OETHMAAN Carvedilol 12.5MG TAB
716743 CARVEDILOL UNICORN Carvedilol 12.5MG TAB
716744 CARVEDILOL UNICORN Carvedilol 25MG TAB
704671 CARVETREND Carvedilol 12.5MG TAB
704672 CARVETREND Carvedilol 25MG TAB
3000278 RUBITREND Carvedilol 12.5MG TAB
3000281 RUBITREND Carvedilol 25MG TAB
Cardiac glycosides
735760 LANOXIN Digoxin .063MG TAB
735744 LANOXIN PAEDIATRIC/GERIATRIC Digoxin .05MG/1ML SYR
758280 PURGOXIN Digoxin .25MG TAB
Vaccines
711345 FLUVAX PRE-FILLED SYRINGE 0.5ML Influenza, inactivated, whole virus VAC
732826 INFLUVAC 0.5ML Influenza, inactivated, whole virus VAC
813338 VAXIGRIP SINGLE DOSE 0.5ML PRE-FILLED Influenza, inactivated, whole virus VAC
836699 IMOVAX PNEUMO 23 Pneumococcus, purified polysaccharides antigen VAC
Chronic Renal Disease
For diuretics and antihypertensives, refer to "Hypertension"
Calcium
3000916 ENO TABLETS ORANGE FLAVOUR Calcium carbonate 500MG CHU
3000917 ENO TABLETS PEPPERMINT FLAVOUR Calcium carbonate 500MG CHU
703359 ENO TUMS ASSORTED FRUIT FLAVOURS Calcium carbonate 500MG CHU
703364 ENO TUMS ORANGE FLAVOUR Calcium carbonate 500MG CHU
703361 ENO TUMS PEPPERMINT FLAVOUR Calcium carbonate 500MG CHU
3000192 OSVAREN Calcium acetate and magnesium carbonate 435MG/235MG TAB
828289 B-CAL CALCIUM PRODUCTS > 300MG CHU
Vitamin D
711640 CALCIFEROL Ergocalciferol 50000IU TAB
711853 CALCIFEROL OILY Ergocalciferol 5000U/1ML DRP
3003368 ZODORAY Alfacalcidol .25MCG CAP
3003367 ZODORAY Alfacalcidol 1MCG CAP
761249 ROCALTROL Calcitriol .25MCG CAP
Oral Iron and Folic Acid supplementation
705532 AHA FERROUS SULPHATE Ferrous sulfate 30MG TAB
713558 BODY BALANCE FERROUS SULPHATE Ferrous sulfate 75MG TAB
710580 EGOLI FERROUS SULPHATE Ferrous sulfate 30MG TAB
723814 FERROUS SULPHATE Ferrous sulfate 100MG TAB
897329 GULF FERROUS SULPHATE COMPOUND Ferrous sulfate TAB
705531 AHA FOLIC ACID Folic acid 0.5MG TAB
810967 BE-TABS FOLIC ACID Folic acid 5MG TAB
711922 FOLIC ACID Folic acid 5MG TAB
721366 FOLIC ACID Folic acid .5MG TAB
721661 FOLIK Folic acid .5MG TAB
Parenteral Iron Preparations
711596 COSMOFER AMPOULE 2ML Iron, parenteral preparations 50MG/1ML INJ
717447 EQUIFER AMPOULE 5ML Iron, parenteral preparations 100MG/5ML INJ
725943 FERRIMED 2ML Iron, parenteral preparations 50MG/1ML INJ
3004640 INNOFER SOLUTION FOR INJECTION 5ML AMPOU Iron, parenteral preparations 100MG/5ML INJ
719989 RAUTEVENE SOLUTION FOR INJECTION AMPOULE Iron, parenteral preparations 100MG/5ML INJ
720333 SUCROFER 5ML Iron, parenteral preparations 20MG/1ML INJ
873276 VENOFER AMPOULE 5ML Iron, parenteral preparations INJ
720231 ZYPIRON 5ML VIAL Iron, parenteral preparations 20MG/1ML INJ
Erythropoietin
837318 EPREX PREFILL Erythropoietin 2000U/.5ML INJ
820741 EPREX PREFILL Erythropoietin 4000U/.4ML INJ
704772 RECORMON 2000 PRE-FILLED SYRINGE Erythropoietin 2000IU INJ
704631 RECORMON 4000 IU/0.3ML PREFILLED SYRINGE Erythropoietin 4000IU/.3ML INJ
704632 RECORMON 500 IU/0.3ML PREFILLED SYRINGE Erythropoietin 500IU/.3ML INJ
839264 REPOTIN 1ML AMPOULE Erythropoietin 2000U/1ML INJ
839272 REPOTIN 1ML AMPOULE Erythropoietin 4000U/1ML INJ
Coronary Artery Disease
Anticoagulants
712608 ASPIRIN TEVA Acetylsalicylic acid 80MG DSP
719673 DR DU TOITS PAIN EXPELLER Acetylsalicylic acid 300MG TAB
700909 GULF ASPIRIN Acetylsalicylic acid 300MG TAB
862304 BAYER ASPIRIN CARDIO Acetylsalicylic acid 100MG DSP
721258 MYOPRIN Acetylsalicylic acid 100MG TAB
722806 SOLUSPIRIN CV Acetylsalicylic acid 100MG DSP
Nitrates
784192 ISOSORBIDE DINITRATE 5 KIARA (SANDOZ ISO Isosorbide dinitrate 5MG TAB
784206 ISOSORBIDE DINITRATE 10 KIARA (SANDOZ IS Isosorbide dinitrate 10MG TAB
793418 ELANTAN Isosorbide mononitrate 20MG TAB
734055 ISMO Isosorbide mononitrate 20MG TAB
710251 MONICOR SR Isosorbide mononitrate 60MG TAB
Beta-blockers
Alpha-Beta blockers
Calcium channel antagonists
708051 AMLODAC Amlodipine 10MG TAB
3004710 AMLODIPINE 10 BIOTECH Amlodipine 10MG TAB
708095 AUSTELL-AMLODIPINE Amlodipine 10MG TAB
712953 GULF AMLODIPINE Amlodipine 5MG TAB
822213 ADCO-ZILDEM Diltiazem 60MG TAB
839183 ADCO-ZILDEM SR Diltiazem 180MG SRC
864153 CIPALAT RETARD Nifedipine 20MG TAB
813354 CALCICARD SR Verapamil 240MG SRT
774944 VASOMIL Verapamil 40MG TAB
700071 VERAHEXAL 240 SR Verapamil 240MG SRT
775789 VERAPAMIL 40 OETHMAAN Verapamil 40MG TAB
Crohn's Disease
Aminosalicylic acids (5-ASA)
762008 SALAZOPYRIN Sulfasalazine 500MG TAB
762016 SALAZOPYRIN EN Sulfasalazine 500MG ECT
Immunosuppressants
701252 AZAMUN Azathioprine 50MG TAB
712609 AZATHIOPRINE PCH Azathioprine 50MG TAB
712504 ABITREXATE Methotrexate 2.5MG TAB
782556 ABITREXATE VIAL 20ML Methotrexate 500MG/20ML INJ
Steroid preparations (enemas)
824593 ENTOCORD Budesonide 2.3MG ENE
Diabetes Mellitus Type 1
Insulin
712770 BIOSULIN 30-70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712769 BIOSULIN L CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712768 BIOSULIN N CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712767 BIOSULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
3003777 DIABULYN 30/70 CATRIDGE 3ML Insulin (human) 100IU/1ML INJ
863572 HUMULIN 30/70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
704456 HUMULIN 30/70 KWIKPEN 3ML Insulin (human) 100IU/1ML INJ
863556 HUMULIN N CARTRIDGE 3ML Insulin (human) INJ
853453 HUMULIN N KWIKPEN 3ML Insulin (human) 100IU/1ML INJ
863564 HUMULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
3004226 FIASP PENFILL 3ML Insulin aspart 100U/1ML INJ
897775 NOVORAPID PENFILL 3ML Insulin aspart 100U/1ML INJ
705313 LEVEMIR PREFILLED CARTRIDGE 3ML Insulin detemir 100MG/1ML INJ
722456 BASAGLAR CARTRIDGE 3ML Insulin glargine 100U/1ML INJ
723474 OPTISULIN CARTRIDGE 3ML Insulin glargine 100IU/1ML INJ
706039 APIDRA CARTRIDGES 3ML Insulin Glulisine 100IU/1ML INJ
862355 HUMALOG CARTRIDGE 3ML Insulin lispro 100IU/1ML INJ
861782 HUMALOG MIX 25 CARTRIDGE 3ML Insulin lispro 100IU INJ
705074 HUMALOG MIX 50 CARTRIDGE 3ML Insulin lispro 3ML INJ
Appliances
616102 ACCU CHECK SOFTCLIX LANCET Non-therapeutic auxiliary products payable on chronic: lancets SUR
249561 ACCU CHECK TEST STRIP GLUCOSE ACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
252331 ACCU CHECK TEST STRIP GLUCOSE ACTIVE HOS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
267938 ACCU CHECK TEST STRIP GLUCOSE GUIDE 50CT Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
264098 ACCU CHECK TEST STRIP GLUCOSE INSTANT Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
180991 ACCU CHECK TEST STRIP GLUCOSE PERFORMA B Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
695819 ACCU CHEK SAFE T PRO UNO LANCET DISPOSAB Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1026353 ALPHA CLIN LANCET UNIVERSAL 50 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1041656 ALPHA CLIN UNIVERSAL LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
678024 BD INSULIN PEN MICROFINE 29G 12.7MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
281849 BD INSULIN PEN NEEDLE 5B XTW 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
678019 BD INSULIN SYRINGE MICROFINE 0.5ML 30G 8 Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
678020 BD INSULIN SYRINGE MICROFINE 12.7MM 0.5M Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
678018 BD INSULIN SYRINGE MICROFINE DEMI 8MM 0. Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
528034 BD MICRO FINE PLUS PEN NEEDLE 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
528031 BD MICRO FINE PLUS PEN NEEDLE 8MM 30G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
678022 BD MICROFINE INSULIN SYRINGE 12.7MM 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
141911 BIONIME LANCET STERILE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1107926 BLOOD GLUCOSE TEST STRIP HEALTHEASE MIDR Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
185043 DROPLET PEN NEEDLE 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
NED
1044065 GLUCO STRIP TD 4255CD TAIDOC Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
667990 GLUCOCHECK EVOLVE TEST STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
1038324 GLUCOCHECK KEY TEST STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
605351 GLUCOCHECK LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
867519 GLUCOSE KETONES PROTEIN STRIP M3 Ketone strips payable on chronic STP
867500 GLUCOSE KETONES STRIP M2 Ketone strips payable on chronic STP
1068699 INSULIN NEEDLE 30G OR 31G OR 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
1105867 INSULIN NEEDLE PEN 30G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
ZZZ
438264 INSULIN PEN LUXURA DELIVERY DEVICE HUMAP Non-therapeutic auxiliary products payable on chronic: other SNG
216799 INSULIN PEN NEEDLE 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
238759 INSULIN PEN NEEDLE MEDISPO 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1072927 INSULIN PEN NEEDLE MEDOJECT FINE 8.5CM X Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
171566 LANCET BLOOD COLLECTION NEEDLE LORIS Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1086638 LANCET BLADE 1 CLICK PRESSURE ACTIVATED Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
572587 LANCET BLOOD Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
555982 LANCET BLOOD AUTO SAFETY OTS012 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1052197 LANCET BLOOD EEZILANCE 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
154912 LANCET BLOOD GLUCOSE TEST 2.4MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
572973 LANCET BLOOD LETTING Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
572976 LANCET BLOOD PLASTIC Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1137301 LANCET BLOOD PRESSURE 20G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1120764 LANCET BLOOD SAFELY 26G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1079369 LANCET BLOOD SAFETY FORA SINGLE USE 1.6M Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1092226 LANCET BLOOD SAFETY PRESSURE ACTIVATED 1 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1052831 LANCET BLOOD SAFETY RETRACTABLE 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1103631 LANCET BLOOD SINGLE USE 23G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
425115 LANCET BLOOD STERILE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
595993 LANCET BLOOD STERILE 200S Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
124045 LANCET EASYMAX Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
177463 LANCET FORA COLLECTION NEEDLE STERILE 30 Non-therapeutic auxiliary products payable on chronic: lancets NED
262253 LANCET FORA TENDER NEEDLE STERILE 33G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
405288 LANCET FREESTYLE TEST Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
667996 LANCET GLUCOCHECK PRO SAFETY Non-therapeutic auxiliary products payable on chronic: lancets
1096505 LANCET GMATE GENERAL 28GBOX 100T Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1072428 LANCET HOMEMED VERIFINE SAFETY 15CM X 10 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
137524 LANCET LORIS SAFETY 2.2MM DEPTH 21G X 1 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
157345 LANCET LORIS SAFETY 1.8MM DEPTH 26G YELL Non-therapeutic auxiliary products payable on chronic: lancets STR
1044909 LANCET MEDLANCE PRESSURE ACTIVATED SAFET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
172658 LANCET MICROLET MULTICOLOURED Non-therapeutic auxiliary products payable on chronic: lancets SUR
1071420 LANCET NEEDLE 1 CLICK PRESSURE ACTIVATED Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
674313 LANCET ON CALL PLUS RAPID DEVICE 5.5CM X Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
472534 LANCET ONCALL GLUCOSE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1133208 LANCET PRECISION POINT BLOOD SAFETY 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1061794 LANCET SAFETY ACCUPRO Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1060570 LANCET SAFETY BLOOD Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1048797 LANCET SAFETY BLOOD SUNVIAN 98MMX70MMX60 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1108754 LANCET SAFETY CLINIHEALTH 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
533869 LANCET SAFETY HEMOCUE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1135406 LANCET SAFETY PRESSURE ACTIVATED 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1063816 LANCET SAFETY VERIFINE 4MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
138352 LANCET SOLUS V2 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
652262 LANCET STERILE 30G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1104313 LANCET TWIST Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
140811 LANCET TWIST TOP HEALTHHEASE 28G Non-therapeutic auxiliary products payable on chronic: lancets SNG
1087092 LANCET U TEST SAFETY Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
511143 LANCET UNILET STERILE 4CM X 6CM X 7.5CM Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
534045 LANCET UNISTICK LANCING DEVICE ABBOTT Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1002115 LANCET UNISTIK TOUCH SAFETY 2.0MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
508771 MICROLET LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
491052 NEEDLE ACCUFINE INSULIN PEN 12MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
ZZZ
149455 NEEDLE BD MICRO FINE PLUS PEN 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
687274 NEEDLE BD PEN 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
1047191 NEEDLE BD PEN MICRO FINE 0.25M X 5MM X 2 Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
1038846 NEEDLE BD PEN MICRO FINE PLUS 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
ZZZ
1005667 NEEDLE CLINIHEALTH 21G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
1133363 NEEDLE DROPLET INSULIN PEN 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
ZZZ
1011255 NEEDLE DROPLET PEN 0.23MM X 6MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
241311 NEEDLE DROPLET PEN 5MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1011258 NEEDLE DROPSAFE PEN 0.25MM X 6MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
116594 NEEDLE HAEMOFINE PEN 10MM X 0.33MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
224877 NEEDLE HAEMOFINE PEN 12MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
132634 NEEDLE HYPODERMIC NOVOTWIST 5MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
217615 NEEDLE INSULIN 30G 13MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1038277 NEEDLE INSULIN DROPLET PEN 5MM 31G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
188452 NEEDLE INSULIN FORA PEN 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
1035775 NEEDLE INSULIN PEN DROPLET 6MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
NED
290404 NEEDLE INSULIN PEN GREEN 0.23MM X 4MM 32 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
290405 NEEDLE INSULIN PEN PURPLE 0.25MM X 5MM 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1101038 NEEDLE INSULIN PEN VERIFINE 4MMX10CMX15C Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
ZZZ
ZZZ
290406 NEEDLE INSULIN PEN YELLOW 0.30MM X 8MM 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
129931 NEEDLE INSUPEN 12MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
ZZZ
ZZZ
ZZZ
1050080 NEEDLE INSUPEN 7CM X 12.5CM 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
ZZZ
ZZZ
412081 NEEDLE LANCET SAFETY Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1014713 NEEDLE MICROFINE INSULIN PEN 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
NED
458317 NEEDLE NOVOFINE Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
1004000 NEEDLE NOVOFINE 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
155014 NEEDLE PEN MICRO FINE PLUS 0.23 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
249828 NEEDLE QUALIFINE 31G X 5MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
460410 NEEDLE UNILET EXELITE LL Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1079135 ONETOUCH PLUS LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
218449 ONETOUCH SELECT PLUS TEST STRIPS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
171565 PEN BIOSULIN DEVICE YPSOMED 1 60 UNIT Non-therapeutic auxiliary products payable on chronic: other SNG
244063 PEN NEEDLE DROPLET 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
SNG
NED
244055 PEN NEEDLE DROPLICON DROPLET 5MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
212380 SYRINGE HYPODERMIC ECCENTRIC NOZZLE 5ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
539344 SYRINGE INSULIN 0.5ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1043307 SYRINGE INSULIN 0.5ML WITH NEEDLE 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
530303 SYRINGE INSULIN 100U LUER SLIP 1ML LATEX Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
539336 SYRINGE INSULIN 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
675283 SYRINGE INSULIN 1ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
567719 SYRINGE INSULIN 1ML TBN WITH 30G X 0.5 N Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
414802 SYRINGE INSULIN 1ML UNIBODY 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
449692 SYRINGE INSULIN 1ML WITH NEEDLE 27G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
SNG
SNG
1087714 SYRINGE INSULIN 33MM X 13MM 1/2 INCH 0.5 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528010 SYRINGE INSULIN BD MICROFINE 12.7MM 0.5M Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528007 SYRINGE INSULIN BD MICROFINE 12.7MM 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528008 SYRINGE INSULIN BD MICROFINE 1ML 8MM 30G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528020 SYRINGE INSULIN BD MICROFINE 8MM 0.5ML 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528024 SYRINGE INSULIN BD MICROFINE 8MM DEMI 0. Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
166705 SYRINGE INSULIN BLISTER 12.7MM 0.5ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1048757 SYRINGE INSULIN BONDED NEEDLE 0.3ML 6MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
SNG
1072929 SYRINGE INSULIN CHIRANA WITH NEEDLE 0.3M Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1072928 SYRINGE INSULIN CHIRANA WITH NEEDLE 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
525509 SYRINGE INSULIN DISPOSSIBLE NEEDLE 1ML 2 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
115311 SYRINGE INSULIN MICROFINE BLIST BD 8MM 1 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
526374 SYRINGE INSULIN SEREMED 1ML W NEEDLE 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1052368 SYRINGE INSULIN W NEEDLE NON SAFETY 0.3M Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
1052370 SYRINGE INSULIN W NEEDLE NON SAFETY 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1103681 SYRINGE INSULIN WITH NEEDLE 1ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1068193 SYRINGE INSULIN WITH NEEDLE CLINIHEALTH Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
1137570 TEST BLOOD GLUCOMETER STRIPS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
229216 TEST BLOOD GLUCOSE BETACHECK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1091670 TEST BLOOD GLUCOSE STRIP EQUIL EXACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117174 TEST GLUCOSE GDH BLOOD STRIP ACCUGENCE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117170 TEST GLUCOSE GOD BLOOD STRIP ACCUGENCE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1012133 TEST GLUCOSE STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125428 TEST GLUCOSE STRIPS NOVA MAX PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
279486 TEST GLUCOSE URICHECK KETONE Ketone strips payable on chronic ZZZ
521287 TEST GLUCOSE VISUAL BETACHEK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
161552 TEST STRIP ACCU CHEK ACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
141904 TEST STRIP BIONIME GLUCOSE METER SELF MO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
274311 TEST STRIP BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1137321 TEST STRIP BLOOD GLUCOMETER SMART Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
209681 TEST STRIP BLOOD GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
225580 TEST STRIP BLOOD GLUCOSE CDE PARTNER Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
276640 TEST STRIP BLOOD GLUCOSE CLICKS BIONIME Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125497 TEST STRIP BLOOD GLUCOSE ON CALL PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125498 TEST STRIP BLOOD GLUCOSE ON CALL SURE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
175215 TEST STRIP BLOODPLASMA NOVICHECK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
136701 TEST STRIP FREESTYLE OPTIUM GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
107404 TEST STRIP GLUCOLEADER YASEE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
643673 TEST STRIP GLUCOMETER Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1026352 TEST STRIP GLUCOMETER ALPHA CLIN 50 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1064665 TEST STRIP GLUCOMETER VIVACHEK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
705298 TEST STRIP GLUCOPLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
187782 TEST STRIP GLUCOPLUS PRO Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
705372 TEST STRIP GLUCOPLUS PROVIDER Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
167532 TEST STRIP GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
293829 TEST STRIP GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips
1018401 TEST STRIP GLUCOSE BLOOD ACC MED Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1042171 TEST STRIP GLUCOSE BLOOD FORA 6 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
621614 TEST STRIP GLUCOSE CARESENS II POP 29G Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
621608 TEST STRIP GLUCOSE CARESENS N 29G Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
168518 TEST STRIP GLUCOSE CONTOUR PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
491915 TEST STRIP GLUCOSE CONTOUR TS Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
124043 TEST STRIP GLUCOSE EASYMAX Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
161236 TEST STRIP GLUCOSE EASYMAX CLICKS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
173709 TEST STRIP GLUCOSE FORA DIAMOND BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
136699 TEST STRIP GLUCOSE FREESTYLE OPTIUM H Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
192063 TEST STRIP GLUCOSE FREESTYLE OPTIUM NEO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
278379 TEST STRIP GLUCOSE HOMEMED 2+2 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
118872 TEST STRIP GLUCOSE LABSTIX OK MATCH Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
454016 TEST STRIP GLUCOSE MULTICARE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
1130658 TEST STRIP GLUCOSE ON CALL ADVANCED Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
468774 TEST STRIP GLUCOSE ON CALL PLUS EZ Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
508924 TEST STRIP GLUCOSE SIMCHEK DW 5 Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
253920 TEST STRIP GLUCOSE SPAR Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1002257 TEST STRIP GLUCOSE VIVA CHECK BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1108624 TEST STRIP GLUCOSE VIVACHEK INO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117167 TEST STRIP KETONE DNX MEDICAL Ketone strips payable on chronic ZZZ
1014049 TEST STRIP MEDI KETONE Ketone strips payable on chronic ZZZ
171155 TEST STRIP ON CALL GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
510233 TEST STRIP ONE TOUCH SELECT Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
293826 TEST STRIP QINZHI Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112345 TEST STRIP URISCAN 10 SGL 5CM X 5XM X 16 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112355 TEST STRIP URISCAN 11 5CM X 5CM X 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112281 TEST STRIP URISCAN 5 HEMOKETOGPH 5CM X 5 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112300 TEST STRIP URISCAN 6 L 5CM X 5CM 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112326 TEST STRIP URISCAN 9 SG 5CM X 5XM X 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
279752 TEST URINALYSIS KETO FOCUS Ketone strips payable on chronic ZZZ
255720 TEST URINE STRIP FOR KETONES Ketone strips payable on chronic ZZZ
678679 UNIFINE PENTIPS 2MM X 12MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
460280 UNIFINE PENTIPS 6MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
ZZZ
459858 UNISTIK 3 EXTRA Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
459855 UNISTIK TOUCH SAFETY LANCET 1.8MM 30G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
Diabetes Mellitus Type 2
Biguanides
714427 ACCORD METFORMIN Metformin 500MG TAB
707670 APEX-METFORMIN Metformin 500MG TAB
705757 AUSTELL-METFORMIN Metformin 500MG TAB
719784 DIAPHAGE Metformin 500MG TAB
714525 GLUCONORM Metformin 500MG TAB
714680 MENGEN Metformin 500MG TAB
897957 MYLAN METFORMIN Metformin 500MG TAB
719643 ROMIDAB Metformin 500MG TAB
Sulphonylureas
827053 BIO-GLIBENCLAMIDE Glibenclamide 5MG TAB
781258 GLIBENCLAMIDE 5 OETHMAAN Glibenclamide 5MG TAB
729361 GLYCOMIN Glibenclamide 5MG TAB
705759 AUSTELL-GLICLAZIDE Gliclazide 40MG TAB
3004865 DIAGEN MR Gliclazide 60MG SRT
718247 DIAGLUCIDE MR Gliclazide 60MG SRT
714909 DIARAN MR Gliclazide 30MG SRT
716953 DYNA GLICLAZIDE SR Gliclazide 30MG SRT
3005220 DYNACAZ 60MG MR Gliclazide 60MG SRT
834866 GLICLAZIDE 80 KIARA (WAS SANDOZ GLICLAZI Gliclazide 80MG TAB
3004170 GLICLAZIDE MR AUSTELL Gliclazide 30MG SRT
3004171 GLICLAZIDE MR AUSTELL Gliclazide 60MG SRT
719463 GLICLAZIDE UNICORN Gliclazide 80MG TAB
721692 GLICLAZIDE UNICORN MR Gliclazide 30MG SRT
3003578 GLUCTAM MR Gliclazide 60MG SRT
700717 GLYGARD Gliclazide 80MG TAB
Thiazolidines
718148 ACCORD PIOGLITAZONE Pioglitazone 15MG TAB
707974 CIPLA-PIOGLITAZONE Pioglitazone 15MG TAB
707981 CIPLA-PIOGLITAZONE Pioglitazone 30MG TAB
3000543 PIOGLITAZONE HYDROCHLORIDE MACLEODS Pioglitazone 15MG TAB
3000544 PIOGLITAZONE HYDROCHLORIDE MACLEODS Pioglitazone 30MG TAB
3004033 PIOGLITAZONE 15MG PHARMA-Q Pioglitazone 15MG TAB
Insulin
712770 BIOSULIN 30-70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712769 BIOSULIN L CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712768 BIOSULIN N CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
712767 BIOSULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
3003777 DIABULYN 30/70 CATRIDGE 3ML Insulin (human) 100IU/1ML INJ
863572 HUMULIN 30/70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
704456 HUMULIN 30/70 KWIKPEN 3ML Insulin (human) 100IU/1ML INJ
863556 HUMULIN N CARTRIDGE 3ML Insulin (human) INJ
853453 HUMULIN N KWIKPEN 3ML Insulin (human) 100IU/1ML INJ
863564 HUMULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ
3004226 FIASP PENFILL 3ML Insulin aspart 100U/1ML INJ
897775 NOVORAPID PENFILL 3ML Insulin aspart 100U/1ML INJ
705313 LEVEMIR PREFILLED CARTRIDGE 3ML Insulin detemir 100MG/1ML INJ
722456 BASAGLAR CARTRIDGE 3ML Insulin glargine 100U/1ML INJ
723474 OPTISULIN CARTRIDGE 3ML Insulin glargine 100IU/1ML INJ
706039 APIDRA CARTRIDGES 3ML Insulin Glulisine 100IU/1ML INJ
862355 HUMALOG CARTRIDGE 3ML Insulin lispro 100IU/1ML INJ
861782 HUMALOG MIX 25 CARTRIDGE 3ML Insulin lispro 100IU INJ
705074 HUMALOG MIX 50 CARTRIDGE 3ML Insulin lispro 3ML INJ
Appliances
616102 ACCU CHECK SOFTCLIX LANCET Non-therapeutic auxiliary products payable on chronic: lancets SUR
249561 ACCU CHECK TEST STRIP GLUCOSE ACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
252331 ACCU CHECK TEST STRIP GLUCOSE ACTIVE HOS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
267938 ACCU CHECK TEST STRIP GLUCOSE GUIDE 50CT Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
264098 ACCU CHECK TEST STRIP GLUCOSE INSTANT Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
180991 ACCU CHECK TEST STRIP GLUCOSE PERFORMA B Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
695819 ACCU CHEK SAFE T PRO UNO LANCET DISPOSAB Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1026353 ALPHA CLIN LANCET UNIVERSAL 50 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1041656 ALPHA CLIN UNIVERSAL LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
678024 BD INSULIN PEN MICROFINE 29G 12.7MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
281849 BD INSULIN PEN NEEDLE 5B XTW 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
678019 BD INSULIN SYRINGE MICROFINE 0.5ML 30G 8 Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
678020 BD INSULIN SYRINGE MICROFINE 12.7MM 0.5M Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
678018 BD INSULIN SYRINGE MICROFINE DEMI 8MM 0. Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
528034 BD MICRO FINE PLUS PEN NEEDLE 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
528031 BD MICRO FINE PLUS PEN NEEDLE 8MM 30G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
678022 BD MICROFINE INSULIN SYRINGE 12.7MM 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
141911 BIONIME LANCET STERILE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1107926 BLOOD GLUCOSE TEST STRIP HEALTHEASE MIDR Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
ZZZ
NED
1044065 GLUCO STRIP TD 4255CD TAIDOC Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
667990 GLUCOCHECK EVOLVE TEST STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
1038324 GLUCOCHECK KEY TEST STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
605351 GLUCOCHECK LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1068699 INSULIN NEEDLE 30G OR 31G OR 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
ZZZ
ZZZ
ZZZ
438264 INSULIN PEN LUXURA DELIVERY DEVICE HUMAP Non-therapeutic auxiliary products payable on chronic: other SNG
SNG
SNG
SNG
SNG
238759 INSULIN PEN NEEDLE MEDISPO 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1072927 INSULIN PEN NEEDLE MEDOJECT FINE 8.5CM X Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
171566 LANCET BLOOD COLLECTION NEEDLE LORIS Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1086638 LANCET BLADE 1 CLICK PRESSURE ACTIVATED Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
555982 LANCET BLOOD AUTO SAFETY OTS012 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
154912 LANCET BLOOD GLUCOSE TEST 2.4MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
572973 LANCET BLOOD LETTING Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
572976 LANCET BLOOD PLASTIC Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1120764 LANCET BLOOD SAFELY 26G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1079369 LANCET BLOOD SAFETY FORA SINGLE USE 1.6M Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1052831 LANCET BLOOD SAFETY RETRACTABLE 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
425115 LANCET BLOOD STERILE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
595993 LANCET BLOOD STERILE 200S Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
124045 LANCET EASYMAX Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
177463 LANCET FORA COLLECTION NEEDLE STERILE 30 Non-therapeutic auxiliary products payable on chronic: lancets NED
262253 LANCET FORA TENDER NEEDLE STERILE 33G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
667996 LANCET GLUCOCHECK PRO SAFETY Non-therapeutic auxiliary products payable on chronic: lancets
1096505 LANCET GMATE GENERAL 28GBOX 100T Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1072428 LANCET HOMEMED VERIFINE SAFETY 15CM X 10 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
137524 LANCET LORIS SAFETY 2.2MM DEPTH 21G X 1 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
157345 LANCET LORIS SAFETY 1.8MM DEPTH 26G YELL Non-therapeutic auxiliary products payable on chronic: lancets STR
1044909 LANCET MEDLANCE PRESSURE ACTIVATED SAFET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
172658 LANCET MICROLET MULTICOLOURED Non-therapeutic auxiliary products payable on chronic: lancets SUR
674313 LANCET ON CALL PLUS RAPID DEVICE 5.5CM X Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
472534 LANCET ONCALL GLUCOSE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1061794 LANCET SAFETY ACCUPRO Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1060570 LANCET SAFETY BLOOD Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1048797 LANCET SAFETY BLOOD SUNVIAN 98MMX70MMX60 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1108754 LANCET SAFETY CLINIHEALTH 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
533869 LANCET SAFETY HEMOCUE Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1063816 LANCET SAFETY VERIFINE 4MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
138352 LANCET SOLUS V2 Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
652262 LANCET STERILE 30G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1104313 LANCET TWIST Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
140811 LANCET TWIST TOP HEALTHHEASE 28G Non-therapeutic auxiliary products payable on chronic: lancets SNG
1087092 LANCET U TEST SAFETY Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
511143 LANCET UNILET STERILE 4CM X 6CM X 7.5CM Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
534045 LANCET UNISTICK LANCING DEVICE ABBOTT Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1002115 LANCET UNISTIK TOUCH SAFETY 2.0MM 21G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
508771 MICROLET LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
ZZZ
ZZZ
ZZZ
149455 NEEDLE BD MICRO FINE PLUS PEN 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
687274 NEEDLE BD PEN 5MM 31G Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
1047191 NEEDLE BD PEN MICRO FINE 0.25M X 5MM X 2 Non-therapeutic auxiliary products payable on chronic: needles and syringes
ZZZ
SNG
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
SNG
SNG
SNG
SNG
241311 NEEDLE DROPLET PEN 5MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
SNG
ZZZ
ZZZ
217615 NEEDLE INSULIN 30G 13MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1038277 NEEDLE INSULIN DROPLET PEN 5MM 31G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
SNG
SNG
SNG
SNG
NED
NED
290404 NEEDLE INSULIN PEN GREEN 0.23MM X 4MM 32 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
290405 NEEDLE INSULIN PEN PURPLE 0.25MM X 5MM 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
ZZZ
ZZZ
ZZZ
ZZZ
290406 NEEDLE INSULIN PEN YELLOW 0.30MM X 8MM 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
412081 NEEDLE LANCET SAFETY Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
NED
NED
458317 NEEDLE NOVOFINE Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
1004000 NEEDLE NOVOFINE 4MM 32G Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
155014 NEEDLE PEN MICRO FINE PLUS 0.23 32G 4MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
460410 NEEDLE UNILET EXELITE LL Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
1079135 ONETOUCH PLUS LANCET Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
218449 ONETOUCH SELECT PLUS TEST STRIPS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
171565 PEN BIOSULIN DEVICE YPSOMED 1 60 UNIT Non-therapeutic auxiliary products payable on chronic: other SNG
NED
SNG
NED
244055 PEN NEEDLE DROPLICON DROPLET 5MM Non-therapeutic auxiliary products payable on chronic: needles and syringes
NED
212380 SYRINGE HYPODERMIC ECCENTRIC NOZZLE 5ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
539344 SYRINGE INSULIN 0.5ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
530303 SYRINGE INSULIN 100U LUER SLIP 1ML LATEX Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
539336 SYRINGE INSULIN 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
675283 SYRINGE INSULIN 1ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
567719 SYRINGE INSULIN 1ML TBN WITH 30G X 0.5 N Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
414802 SYRINGE INSULIN 1ML UNIBODY 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
ZZZ
SNG
SNG
1087714 SYRINGE INSULIN 33MM X 13MM 1/2 INCH 0.5 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528010 SYRINGE INSULIN BD MICROFINE 12.7MM 0.5M Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528007 SYRINGE INSULIN BD MICROFINE 12.7MM 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528008 SYRINGE INSULIN BD MICROFINE 1ML 8MM 30G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528020 SYRINGE INSULIN BD MICROFINE 8MM 0.5ML 3 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
528024 SYRINGE INSULIN BD MICROFINE 8MM DEMI 0. Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
166705 SYRINGE INSULIN BLISTER 12.7MM 0.5ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
SNG
SNG
SNG
1072929 SYRINGE INSULIN CHIRANA WITH NEEDLE 0.3M Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1072928 SYRINGE INSULIN CHIRANA WITH NEEDLE 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
525509 SYRINGE INSULIN DISPOSSIBLE NEEDLE 1ML 2 Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
526374 SYRINGE INSULIN SEREMED 1ML W NEEDLE 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
1052370 SYRINGE INSULIN W NEEDLE NON SAFETY 1ML Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
1103681 SYRINGE INSULIN WITH NEEDLE 1ML 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
SNG
1137570 TEST BLOOD GLUCOMETER STRIPS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
229216 TEST BLOOD GLUCOSE BETACHECK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1091670 TEST BLOOD GLUCOSE STRIP EQUIL EXACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117174 TEST GLUCOSE GDH BLOOD STRIP ACCUGENCE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117170 TEST GLUCOSE GOD BLOOD STRIP ACCUGENCE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1012133 TEST GLUCOSE STRIP Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125428 TEST GLUCOSE STRIPS NOVA MAX PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
521287 TEST GLUCOSE VISUAL BETACHEK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
161552 TEST STRIP ACCU CHEK ACTIVE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
141904 TEST STRIP BIONIME GLUCOSE METER SELF MO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
274311 TEST STRIP BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1137321 TEST STRIP BLOOD GLUCOMETER SMART Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
225580 TEST STRIP BLOOD GLUCOSE CDE PARTNER Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
276640 TEST STRIP BLOOD GLUCOSE CLICKS BIONIME Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125497 TEST STRIP BLOOD GLUCOSE ON CALL PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1125498 TEST STRIP BLOOD GLUCOSE ON CALL SURE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
175215 TEST STRIP BLOODPLASMA NOVICHECK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
136701 TEST STRIP FREESTYLE OPTIUM GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
107404 TEST STRIP GLUCOLEADER YASEE Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
643673 TEST STRIP GLUCOMETER Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1026352 TEST STRIP GLUCOMETER ALPHA CLIN 50 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1064665 TEST STRIP GLUCOMETER VIVACHEK Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
705298 TEST STRIP GLUCOPLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
187782 TEST STRIP GLUCOPLUS PRO Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
705372 TEST STRIP GLUCOPLUS PROVIDER Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
293829 TEST STRIP GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips
1018401 TEST STRIP GLUCOSE BLOOD ACC MED Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1042171 TEST STRIP GLUCOSE BLOOD FORA 6 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
621614 TEST STRIP GLUCOSE CARESENS II POP 29G Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
621608 TEST STRIP GLUCOSE CARESENS N 29G Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
168518 TEST STRIP GLUCOSE CONTOUR PLUS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
491915 TEST STRIP GLUCOSE CONTOUR TS Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
124043 TEST STRIP GLUCOSE EASYMAX Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
161236 TEST STRIP GLUCOSE EASYMAX CLICKS Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
173709 TEST STRIP GLUCOSE FORA DIAMOND BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
136699 TEST STRIP GLUCOSE FREESTYLE OPTIUM H Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
192063 TEST STRIP GLUCOSE FREESTYLE OPTIUM NEO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
278379 TEST STRIP GLUCOSE HOMEMED 2+2 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
118872 TEST STRIP GLUCOSE LABSTIX OK MATCH Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
454016 TEST STRIP GLUCOSE MULTICARE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
1130658 TEST STRIP GLUCOSE ON CALL ADVANCED Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
468774 TEST STRIP GLUCOSE ON CALL PLUS EZ Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
508924 TEST STRIP GLUCOSE SIMCHEK DW 5 Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
253920 TEST STRIP GLUCOSE SPAR Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1002257 TEST STRIP GLUCOSE VIVA CHECK BLOOD Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1108624 TEST STRIP GLUCOSE VIVACHEK INO Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1117167 TEST STRIP KETONE DNX MEDICAL Ketone strips payable on chronic ZZZ
171155 TEST STRIP ON CALL GLUCOSE Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
510233 TEST STRIP ONE TOUCH SELECT Diagnostic agents payable by PBM - incl urine/blood glucose test strips STR
293826 TEST STRIP QINZHI Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112345 TEST STRIP URISCAN 10 SGL 5CM X 5XM X 16 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112355 TEST STRIP URISCAN 11 5CM X 5CM X 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112281 TEST STRIP URISCAN 5 HEMOKETOGPH 5CM X 5 Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112300 TEST STRIP URISCAN 6 L 5CM X 5CM 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
1112326 TEST STRIP URISCAN 9 SG 5CM X 5XM X 16CM Diagnostic agents payable by PBM - incl urine/blood glucose test strips ZZZ
678679 UNIFINE PENTIPS 2MM X 12MM 29G Non-therapeutic auxiliary products payable on chronic: needles and syringes
SNG
SNG
ZZZ
459858 UNISTIK 3 EXTRA Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
459855 UNISTIK TOUCH SAFETY LANCET 1.8MM 30G Non-therapeutic auxiliary products payable on chronic: lancets ZZZ
Diabetes Insipidus
837563 DDAVP Desmopressin .1MG TAB
717746 DDAVP 2.5ML Desmopressin .1MG/1ML NOD
837555 DDAVP NASAL SPRAY 5ML Desmopressin .1MG/1ML NAS
722060 MINIRIN MELT Desmopressin 120MCG SLT
Dysrhythmias
Anticoagulants
778362 ASPEN WARFARIN Warfarin 5MG TAB
Antiplatelet agents
Beta-blockers
Alpha-beta blockers
Cardiac glycosides
735744 LANOXIN PAEDIATRIC/GERIATRIC Digoxin .05MG/1ML SYR
758280 PURGOXIN Digoxin .25MG TAB
Anti-arrhythmics
703515 ARYCOR Amiodarone 100MG TAB
707851 BIO-AMIODARONE Amiodarone 200MG TAB
863157 HEXARONE Amiodarone 100MG TAB
863165 HEXARONE Amiodarone 200MG TAB
Epilepsy
721545 CLONAM Clonazepam .5MG TAB
721546 CLONAM Clonazepam 2MG TAB
761079 RIVOTRIL Clonazepam .5MG TAB
761087 RIVOTRIL Clonazepam 2MG TAB
835129 RIVOTRIL Clonazepam 2.5MG/1ML DRP
779105 ZARONTIN Ethosuximide 250MG/5ML SYR
717226 MYLAN OXCARBAZEPINE Oxcarbazepine 300MG TAB
717227 MYLAN OXCARBAZEPINE Oxcarbazepine 600MG TAB
754803 ADCO-PHENOBARB VITAL Phenobarbital 100ML SYR
737844 LETHYL Phenobarbital 30MG TAB
814946 SEDABARB Phenobarbital 30MG TAB
723525 EPANUTIN Phenytoin 100MG CAP
723533 EPANUTIN Phenytoin 125MG/5ML SUS
754870 PHENYTOIN SOD Phenytoin 100MG TAB
Glaucoma
Sympathomimetics
709410 ALPHAGAN PURITE 5ML Brimonidine 1.5MG/1ML OPD
721293 BRIMOCT 5ML Brimonidine 2MG/1ML OPD
Parasympathomimetics
734284 ISOPTO CARPINE 1% 15ML Pilocarpine 10MG/1ML OPD
Carbonic anhydrase inhibitor
720983 GLAUCOPRESS 5ML Dorzolamide 0.02 OPD
701523 AZOPTIC 5ML EYE SUSPENSION Brinzolamide 10MG/1ML OPD
3004660 SIMBRINZA 5ML Brinzolamide, combinations OPD
Beta-blockers
821624 GLAUCOSAN 5ML Timolol 5MG/1ML OPD
720734 OCCUMOL Timolol 0.005 OPD
770841 TIMOPTOL 5ML Timolol 5MG/1ML OPD
770833 TIMOPTOL 5ML Timolol 2.5MG/1ML OPD
819816 TIMOPTOL-XE 2.5ML Timolol 2.5MG/1ML DRP
819824 TIMOPTOL-XE 2.5ML Timolol 5MG/1ML DRP
717260 AZARGA 5ML Timolol, combinations OPD
3005245 BRIMOCT CO 2MG/5MG PER ML 5ML Timolol, combinations OPD
722712 CO-ATANA 2.5ML Timolol, combinations OPD
709863 COMBIGAN 2MG/5MG 5ML Timolol, combinations OPD
708877 DUOTRAV 2.5ML Timolol, combinations OPD
721902 GLAUMIDE-CO 5ML Timolol, combinations OPD
3000372 OCUDOR CO 5ML Timolol, combinations OPD
Prostaglandin derivatives
716754 LUMIGAN 2.5ML Bimatoprost 0.0001 OPD
703666 LUMIGAN 3ML Bimatoprost .3MG/1ML OPD
720971 ATANA 2.5ML Latanoprost 0.00005 OPD
723018 SPERSATAN 2.5ML Latanoprost 50MCG OPD
720401 SAFLUTAN SINGLE DOSE CONTAINER 0.3ML Tafluprost 15MCG/1ML OPD
702534 TRAVATAN 2.5ML Travoprost 40mcg/1ml OPD
Acetazolamide
789771 AZOMID Acetazolamide 250MG TAB
Haemophilia
Tranexamic acid
3004102 BIO TRANEXAMIC Tranexamic acid 500MG TAB
3003844 FIBTIN Tranexamic acid 500MG TAB
Desmopressin
717746 DDAVP 2.5ML Desmopressin .1MG/1ML NOD
837555 DDAVP NASAL SPRAY 5ML Desmopressin .1MG/1ML NAS
Analgesics
792101 ACTAMOL RED (BOXED) Paracetamol 120MG/5ML SYR
704093 ACTAMOL RED (UN-BOXED) Paracetamol 120MG/5ML SYR
745715 ADCO-NAPAMOL ELIXIR Paracetamol 120MG/5ML SYR
789526 BRUNOMOL Paracetamol 120MG/5ML SYR
703820 FEVERPAIN Paracetamol 120MG/5ML SYR
704450 PAINOGESIC Paracetamol 120MG/5ML SYR
707583 PARACETAMOL ELIXIR SAD (ALCOHOL FREE) Paracetamol 120MG/5ML SYR
758558 PYRALEN Paracetamol 120MG/5ML SYR
745723 ADCO-NAPAMOL Paracetamol 500MG TAB
757403 ADCO-PROLIEF Paracetamol 500MG TAB
805467 ANTALGIC Paracetamol 500MG TAB
867950 GULF PARACETAMOL Paracetamol 500MG TAB
894212 JP PARACETAMOL Paracetamol 500MG TAB
799629 PAINAMOL (GREEN) Paracetamol 500MG TAB
704465 PAINOGESIC Paracetamol 500MG TAB
752878 PARAPANE Paracetamol 500MG TAB
885863 VON PARACETAMOL Paracetamol 500MG TAB
745707 ADCO-NAPACOD 500MG/10MG Paracetamol combinations payable by PBM TAB
787043 CODOROL Paracetamol combinations payable by PBM TAB
719662 COGESIC Paracetamol combinations payable by PBM 500MG/8MG TAB
837652 DINO-COD Paracetamol combinations payable by PBM TAB
707910 PAINAMOL PLUS Paracetamol combinations payable by PBM 500MG/8MG TAB
713688 VARIPAN CO 8MG/500MG Paracetamol combinations payable by PBM 8MG/500MG TAB
Hyperlipidaemia
Statins
718073 ADCO ATORVASTATIN Atorvastatin 10MG TAB
708121 ASPAVOR Atorvastatin 10MG TAB
719185 ASTOR Atorvastatin 10MG TAB
723710 ATORVASTATIN LHC Atorvastatin 10MG TAB
3003434 CHOLMIN Atorvastatin 10MG TAB
3001254 DEZZOLIP Atorvastatin 10MG TAB
718218 DYNATOR Atorvastatin 10MG TAB
719366 LESTAVOR Atorvastatin 10MG TAB
714071 LIPOGEN Atorvastatin 10MG TAB
701276 ADCO-SIMVASTATIN Simvastatin 10MG TAB
705464 AUSTELL-SIMVASTATIN Simvastatin 10MG TAB
715708 CHOLESTE Simvastatin 10MG TAB
708307 CIPLA-SIMVASTATIN Simvastatin 10MG TAB
710868 NOVATIN Simvastatin 10MG TAB
705281 SIMCARD Simvastatin 10MG TAB
705282 SIMCARD Simvastatin 20MG TAB
700519 SIMVACOR Simvastatin 10MG TAB
3002165 SIMVASTATIN 10 STRIDES Simvastatin 10MG TAB
703525 SIMVOTIN Simvastatin 10MG TAB
710827 ZYSIM Simvastatin 20MG TAB
Fibrates
708453 BEZALIP Bezafibrate 200MG TAB
779644 BEZALIP RETARD Bezafibrate 400MG TAB
828300 SANDOZ BEZAFIBRATE Bezafibrate 400MG TAB
Nicotinic Acid
891322 NICOTINIC ACID Nicotinic acid 20MG TAB
Hypertension
Centrally Acting Anti-adrenergic Agents
760048 RESERPINE Reserpine .25MG TAB
785962 MYLAN METHYLDOPA Methyldopa (levorotatory) 250MG TAB
Alpha-aderenergic blockers
701425 CARDUGEN (WAS MERCK-DOXAZOSIN) Doxazosin 1MG TAB
714292 CARZIN XL Doxazosin 4MG TAB
3000184 URODOXA Doxazosin 4MG TAB
Arterial Vasodilators
761400 HYDRALAZINE HCL 25 KIARA (WAS SANDOZ HYD Hydralazine 25MG TAB
731714 HYPERPHEN Hydralazine 10MG TAB
731722 HYPERPHEN Hydralazine 50MG TAB
Diuretics
857769 DEFULIDE Furosemide 40MG TAB
716048 DINO-RETIC Furosemide 40MG TAB
705967 DIURESIX Furosemide 40MG TAB
821845 FUROBE Furosemide 40MG TAB
3004521 FUROSEMIDE 40 UNIMED Furosemide 40MG TAB
3001173 GULF HYDROCHLOROTHIAZIDE Hydrochlorothiazide 25MG TAB
890470 HEXAZIDE Hydrochlorothiazide 25MG TAB
710437 RIDAQ Hydrochlorothiazide 12.5MG TAB
774057 URIREX-K 50MG/300MG Hydrochlorothiazide and potassium TAB
780618 ADCO-RETIC 50MG/5MG Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
719984 DEZRETIC 5MG/50MG Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
706531 SPEC-CO-AMILORIDE Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB
819417 ADCO-DAPAMAX Indapamide 2.5MG TAB
700820 CATEXAN Indapamide 2.5MG TAB
710313 CIPLA-INDAPAMIDE Indapamide 2.5MG TAB
Beta-blockers
Alpha-beta blockers
708095 AUSTELL-AMLODIPINE Amlodipine 10MG TAB
712953 GULF AMLODIPINE Amlodipine 5MG TAB
864153 CIPALAT RETARD Nifedipine 20MG TAB
ACE inhibitors
836451 ADCO-CAPTOMAX Captopril 25MG TAB
852333 BIO-CAPTOPRIL Captopril 25MG TAB
837628 CAPTOHEXAL Captopril 12.5MG TAB
716120 AURO-LISINOPRIL CO Lisinopril and diuretics 10MG/12.5MG TAB
Angiotensin Receptor Blockers
3000577 LOSARTAN COMP BIOTECH 100MG/25MG Losartan and diuretics 100MG/25MG TAB
3000576 LOSARTAN COMP BIOTECH 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB
716515 SARTOC-CO 100MG/25MG Losartan and diuretics 100MG/25MG TAB
715064 SARTOC-CO 50/12.5 Losartan and diuretics 50MG/12.5MG TAB
Hypothyroidism
713168 EUTHYROX Levothyroxine sodium .05MG TAB
713169 EUTHYROX Levothyroxine sodium .1MG TAB
713172 EUTHYROX Levothyroxine sodium 25MCG TAB
Multiple sclerosis
Anticholinergics
872253 LENDITRO Oxybutynin 5MG TAB
722063 OXYREST Oxybutynin 5MG TAB
Immunosuppressants
723274 ENDOXAN Cyclophosphamide 50MG TAB
Muscle relaxants
865567 BIO-BACLOFEN (WAS NORTON-BACLOFEN) Baclofen 10MG TAB
712607 TEVA BACLOFEN Baclofen 10MG TAB
Tricyclic Antidepressants
Carbamazepine
Analgesics
719662 COGESIC Paracetamol combinations payable by PBM 500MG/8MG TAB
707910 PAINAMOL PLUS Paracetamol combinations payable by PBM 500MG/8MG TAB
713688 VARIPAN CO 8MG/500MG Paracetamol combinations payable by PBM 8MG/500MG TAB
COX-2 inhibitors (COXIB)
3004533 ANABREX Celecoxib 100MG CAP
862444 CELEBREX Celecoxib 100MG CAP
724014 CELECOXIB UNICORN Celecoxib 100MG CAP
3004413 COLCIBRA Celecoxib 100MG CAP
3004807 COXEP Celecoxib 100MG CAP
723329 COXLEON Celecoxib 100MG CAP
Non-steroidal anti-inflammatories
893390 A-LENNON DICLOFENAC Diclofenac 25MG TAB
718479 DICLOFENAC BIOTECH Diclofenac 25MG TAB
786012 MYLAN DICLOFENAC Diclofenac 25MG TAB
787426 BETAPROFEN Ibuprofen 200MG TAB
701975 BETAPROFEN FC Ibuprofen 400MG TAB
708290 BREN Ibuprofen 400MG TAB
700315 IBUCINE Ibuprofen 100MG/5ML SUS
700316 IBUCINE Ibuprofen 200MG TAB
868221 IBUNATE Ibuprofen 200MG TAB
708536 IBUSOR Ibuprofen 200MG TAB
721335 INFLAMAX PAEDIATRIC Ibuprofen 100MG/5ML SUS
701891 AMDOCIN Indometacin CAP
787833 BETACIN Indometacin 25MG CAP
868213 GULF INDOMETHACIN Indometacin 25MG CAP
788996 MEDIFLEX Indometacin 25MG CAP
814393 METHOCAPS Indometacin 25MG CAP
705376 ADCO-MELOXICAM Meloxicam 15MG TAB
899066 COXFLAM Meloxicam 7.5MG TAB
718381 MEDOXICAM Meloxicam 7.5MG TAB
705230 MELZY Meloxicam 15MG TAB
810185 NAPINFLAM Naproxen 250MG TAB
805238 NAPROSCRIPT Naproxen 250MG TAB
785253 ADCO-PIROXICAM Piroxicam 10MG CAP
799432 PYROCAPS Piroxicam 20MG CAP
701072 ROXIFEN Piroxicam 20MG CAP
797030 XYCAM Piroxicam 20MG CAP
Parkinson's Disease
Levodopa combinations
3000000 LECARDOP 25/100 Levodopa and decarboxylase inhibitor 25MG/100MG TAB
3000001 LECARDOP 25/250 Levodopa and decarboxylase inhibitor 25MG/250MG TAB
794635 SINEMET CR 50MG/200MG Levodopa and decarboxylase inhibitor 50MG/200MG SRT
710286 TEVA CARBI-LEVO 25/100 Levodopa and decarboxylase inhibitor 25MG/100MG TAB
710468 TEVA CARBI-LEVO 25/250 Levodopa and decarboxylase inhibitor 25MG/250MG TAB
Dopamine agonists and other
700500 SYMADIN Amantadine 100MG CAP
701491 AKINETON Biperiden 2MG TAB
720542 DISIPAL Orphenadrine (chloride) 50MG TAB
722750 MYLAN PRAMIPEXOLE Pramipexole 1MG TAB
719542 OXPOLA Pramipexole .125MG TAB
719543 OXPOLA Pramipexole .25MG TAB
719545 OXPOLA Pramipexole 1MG TAB
723741 PEXASP Pramipexole .125MG TAB
723740 PEXASP Pramipexole .25MG TAB
723742 PEXASP Pramipexole 1MG TAB
719569 ACCORD ROPINIROLE Ropinirole .25MG TAB
719570 ACCORD ROPINIROLE Ropinirole .5MG TAB
719571 ACCORD ROPINIROLE Ropinirole 1MG TAB
700647 REQUIP Ropinirole .25MG TAB
700650 REQUIP Ropinirole .5MG TAB
700652 REQUIP Ropinirole 1MG TAB
711769 AZILECT Rasagiline 1MG TAB
3004978 RASAPAR Rasagiline 1MG TAB
3005388 RAZAGIN Rasagiline 1MG TAB
713210 BENZHEXOL Trihexyphenidyl 2MG TAB
Rheumatoid arthritis
Disease modifying agents
878790 MIRQUIN Chloroquine 50MG/5ML SYR
747297 NIVAQUINE Chloroquine 200MG TAB
794333 PLASMOQUINE Chloroquine 200MG CAP
721806 LUNAR Leflunomide 20MG TAB
3000528 RAVALEF Leflunomide 10MG TAB
3000529 RAVALEF Leflunomide 20MG TAB
721609 RHEUMALEF Leflunomide 10MG TAB
721610 RHEUMALEF Leflunomide 20MG TAB
782564 ABITREXATE VIAL 10ML Methotrexate 1G INJ
Immunosuppressants
Alkylating agents
Schizophrenia
Antipsychotic agents
3002238 APRIPENT Aripiprazole 5MG TAB
3004215 ARIPIPRAZOLE MYLAN Aripiprazole 15MG TAB
723963 ARIZOFY Aripiprazole 15MG TAB
726672 FLUANXOL DEPOT 1ML Flupentixol 20MG/1ML INJ
744328 MODECATE+SYRINGE 1ML Fluphenazine 25MG/1ML INJ
719549 GULF HALOPERIDOL Haloperidol 5MG TAB
730335 HALOPERIDOL 1.5 OETHMAAN Haloperidol 1.5MG TAB
730327 HALOPERIDOL 5 OETHMAAN Haloperidol 5MG TAB
763411 SERENACE Haloperidol .5MG CAP
3005269 ALONZA Olanzapine 2.5MG TAB
3004396 OLANDUS Olanzapine 2.5MG TAB
721385 OLAWIN Olanzapine 2.5MG TAB
721745 QUETIAPINE BIOTECH Quetiapine 100MG TAB
721710 SPEC QUETIAPINE Quetiapine 150MG TAB
3000496 ASPEN RISPERIDONE Risperidone 1MG/1ML SOL
3002921 PMI RISPERIDONE Risperidone 1MG/1ML SOL
717996 RISNIA Risperidone .5MG TAB
714101 RISPACOR Risperidone .5MG TAB
723314 RISPIDE Risperidone .5MG TAB
711534 RISPONZ Risperidone 2MG TAB
711511 ZOXADON Risperidone .5MG TAB
705386 BIO-SULPIRIDE Sulpiride 200MG TAB
714852 CLOPIXOL DEPOT Zuclopenthixol 200MG/1ML INJ
Antidepressants
Mood Stabilisers
Systemic Lupus Erythematosus
Antiplatelet agents
Disease modifying agents
Immunosuppressants
Alkylating agents
Ulcerative colitis
Immunosuppressants
Steroid preparations (enemas)
824593 ENTOCORD Budesonide 2.3MG ENE
Menopause
756725 PREMARIN Conjugated estrogens 0.3MG TAB
832448 PREMARIN Conjugated estrogens .625MG/1G VCR
824631 CLIMARA 50 Estradiol 50MCG PAD
706049 ESTRADOT Estradiol 25MCG PAD
706052 ESTRADOT Estradiol 37.5MCG PAD
810290 EVOREL 50 TTS Estradiol 50MCG PAD
750301 OESTRADIOL Estradiol 20MG IMP
893919 ESTROFEM Estradiol 1MG TAB
822477 ESTRO-PAUSE Estradiol 1MG TAB
757330 PROGYNOVA Estradiol 1MG TAB
741817 MENOFLUSH Estradiol, combinations TAB
827452 SYNAPAUSE-E3 Estriol 2MG TAB
718440 DEPO-PROVERA 1ML Medroxyprogesterone 150MG/1ML INJ
780642 PETOGEN-FRESENIUS 1ML VIAL Medroxyprogesterone 150MG/1ML INJ
706704 HEXAL-MPA Medroxyprogesterone 5MG TAB
757934 PROVERA Medroxyprogesterone 5MG TAB
822493 ESTRO-PAUSE N Norethisterone and estrogen TAB
704903 NOVOFEM Norethisterone and estrogen TAB
825980 POSTOVAL Norgestrel and estrogen TAB
Polycystic ovarian syndrome (PCOS)
Contraceptives for systemic use
825964 MARVELON 150/30 desogestrel and ethinylestradiol TAB
723085 NOVYNETTE desogestrel and ethinylestradiol TAB
826014 MINULETTE gestodene and ethinylestradiol TAB
720418 HY-AN Levonorgestrel 0.03MG TAB
826006 MICROVAL Levonorgestrel 0.3MG TAB
825808 BIPHASIL levonorgestrel and ethinylestradiol TAB
721606 LEVETTE 0.15MG/0.03MG levonorgestrel and ethinylestradiol 0.15MG/0.03MG TAB
825956 LOGYNON ED levonorgestrel and ethinylestradiol TAB
826049 NORDIOL levonorgestrel and ethinylestradiol TAB
720419 ORALCON levonorgestrel and ethinylestradiol TAB
720420 TRIGESTREL levonorgestrel and ethinylestradiol TAB
825832 TRIPHASIL levonorgestrel and ethinylestradiol TAB
748552 NUR-ISTERATE Norethisterone 200MG/1ML INJ
720417 FAMYNOR norgestrel and ethinylestradiol TAB
826138 OVRAL norgestrel and ethinylestradiol TAB
Biguanides
707670 APEX-METFORMIN Metformin 500MG TAB
Systemic hormones
824631 CLIMARA 50 Estradiol 50MCG PAD
706052 ESTRADOT Estradiol 37.5MCG PAD
810290 EVOREL 50 TTS Estradiol 50MCG PAD
750301 OESTRADIOL Estradiol 20MG IMP
741817 MENOFLUSH Estradiol, combinations TAB
827452 SYNAPAUSE-E3 Estriol 2MG TAB
822493 ESTRO-PAUSE N Norethisterone and estrogen TAB
704903 NOVOFEM Norethisterone and estrogen TAB
825980 POSTOVAL Norgestrel and estrogen TAB
Anti-androgens
Endometriosis
Contraceptives for systemic use
825964 MARVELON 150/30 desogestrel and ethinylestradiol TAB
723085 NOVYNETTE desogestrel and ethinylestradiol TAB
826014 MINULETTE gestodene and ethinylestradiol TAB
720418 HY-AN Levonorgestrel 0.03MG TAB
826006 MICROVAL Levonorgestrel 0.3MG TAB
825808 BIPHASIL levonorgestrel and ethinylestradiol TAB
825956 LOGYNON ED levonorgestrel and ethinylestradiol TAB
826049 NORDIOL levonorgestrel and ethinylestradiol TAB
720419 ORALCON levonorgestrel and ethinylestradiol TAB
720420 TRIGESTREL levonorgestrel and ethinylestradiol TAB
825832 TRIPHASIL levonorgestrel and ethinylestradiol TAB
748552 NUR-ISTERATE Norethisterone 200MG/1ML INJ
826138 OVRAL norgestrel and ethinylestradiol TAB
Paraplegia
Muscle relaxants
865567 BIO-BACLOFEN (WAS NORTON-BACLOFEN) Baclofen 10MG TAB
712607 TEVA BACLOFEN Baclofen 10MG TAB
Anticholinergics
872253 LENDITRO Oxybutynin 5MG TAB
722063 OXYREST Oxybutynin 5MG TAB
Analgesics
719662 COGESIC Paracetamol combinations payable by PBM TAB
707910 PAINAMOL PLUS Paracetamol combinations payable by PBM TAB
Antidepressants
702769 ADCO-TALOMIL Citalopram 20MG TAB
713584 ARROW CITALOPRAM Citalopram 40MG TAB
707397 AUSTELL-CITALOPRAM Citalopram 40MG TAB
3003785 BIO CITALOPRAM Citalopram 10MG TAB
3000328 CITALOPRAM 20 OETHMAAN Citalopram 20MG TAB
3001172 GULF CITALOPRAM Citalopram 20MG TAB
713356 RECITA Citalopram 20MG TAB
894303 DEPROZAN Fluoxetine 20MG CAP
838713 FLUOXETINE 20 OETHMAAN Fluoxetine 20MG CAP
719658 PROLAX Fluoxetine 20MG CAP
705064 ZYDUS FLUOXETINE Fluoxetine 20MG CAP
Anti-epileptics
Laxatives
721522 DULCOLAX ADULT Bisacodyl 10MG SUP
721530 DULCOLAX PAEDIATRIC Bisacodyl 5MG SUP
715545 FRESHEN BISACODYL LAXATIVE Bisacodyl TAB
723016 PURITONE BISACODYL LAXATIVE Bisacodyl 5MG TAB
705231 DIS-CHEM SENNA Senna glycosides TAB
707044 PURITAN'S PRIDE SENNAGEN Senna glycosides TAB
708867 SENNA-PIN Senna glycosides TAB
868078 SOFLAX Senna glycosides TAB

Bonitas Chronic PMB Formulary D January 2023

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Bonitas Chronic PMB Formulary D January 2023

Uploaded by

Copyright:

Available Formats

BONITAS CHRONIC PMB FORMULARY D

Applicable to the BonCap Option

Nappi code Drug Name Active Ingredient Strength Drug Form

You might also like