MHRS Restrictive Formulary Nov11 - InterpharmEPILIM 500 EC Valproic acid 500MG ECT Accepted...

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Restrictive Formulary RESTRICTIVE PMB FORMULARY Effective 1 Nov 2011 Drug Name Active Ingredient Strength Drug Form Chronic Medicine Management Reimbursement Criteria for formulary drugs Inhaled B2 agonists AIROMIR INHALER Salbutamol 100MCG INH Accepted treatment ASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatment ASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatment ASTHAVENT 300D ECOHALER CFC FREE Salbutamol 100MCG INH Accepted treatment VENTEZE COMPLETE Salbutamol 100MCG INH Accepted treatment VENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatment VENTOLIN INHALER 200 CFC FREE Salbutamol 100MCG INH Accepted treatment Long acting B2 agonists FORADIL DRY Formoterol 12MCG CPS Clinical Review Asthma Clinical Review - will be authorised if the drug history or co-morbidity clearly indicates that use of the drug is indicated in the specific patient. Specialist Motivation - will require a relevant specialist motivation before reimbursement is considered Special Investigations (SI) - results of recent relevant tests required before reimbursement is considered Quantity/dosage and duration of authorisation may vary - depending on the requested drug. Clinical Motivation - specific clinical information required before reimbursement is considered Specialist Script - will require a relevant specialist's prescription before reimbursement is considered Accepted Treatment - will be authorised without requesting additional clinical information (unless specific concerns e.g. unusual dose requests). Products included on this chronic medicines formulary will not attract a co-payment if authorised by Chronic Medicine Management for a disease on the CDL and obtained from the Designated Service Provider. Reimbursement will however be subject to the Chronic Medicine Management clinical guidelines and protocols and the Medicine Price List (MPL). KEY to Chronic Medicine Management Reimbursement Criteria: 1 01/11/2011 FORADIL DRY Formoterol 12MCG CPS Clinical Review FORADIL DRY Formoterol 12MCG CAP Clinical Review FORATEC DP CAPS Formoterol 12MCG INH Clinical Review Inhaled corticosteroids BECEZE INHALER COMPLETE Beclomethasone 100MCG INH Accepted treatment BECEZE INHALER COMPLETE Beclomethasone 50MCG INH Accepted treatment BECLATE INHALER Beclomethasone 100MCG INH Accepted treatment BECLATE INHALER Beclomethasone 200MCG INH Accepted treatment BECLATE INHALER Beclomethasone 50MCG INH Accepted treatment BECOTIDE 100 COMP Beclomethasone 100MCG INH Accepted treatment BECOTIDE 100 REFILL Beclomethasone 100MCG REF Accepted treatment BECOTIDE COMPLETE Beclomethasone 50MCG INH Accepted treatment BECOTIDE REFILL Beclomethasone 50MCG REF Accepted treatment BUDEFLAM CFC FREE 200MCG 300 DOSE INH Budesonide 200MCG INH Accepted treatment BUDEFLAM CFC FREE 300 DOSE INH Budesonide 100MCG INH Accepted treatment BUDEFLAM DP CAPS Budesonide 200MCG CAP Accepted treatment FOXAIR 50/100 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 50/250 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 50/500 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 25/125 120DOSE Salmeterol and other anti-asthmatics 25MCG/125MCG INH Accepted treatment FOXAIR 25/250 120DOSE Salmeterol and other anti-asthmatics 25MCG/250MCG INH Accepted treatment FOXAIR 25/50 120 DOSE Salmeterol and other anti-asthmatics 25MCG/50MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 100MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 200MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 50MCG INH Accepted treatment 1 01/11/2011

Transcript of MHRS Restrictive Formulary Nov11 - InterpharmEPILIM 500 EC Valproic acid 500MG ECT Accepted...

Page 1: MHRS Restrictive Formulary Nov11 - InterpharmEPILIM 500 EC Valproic acid 500MG ECT Accepted treatment EPILIM CR Valproic acid 200MG SRT Accepted treatment EPILIM CR Valproic acid 300MG

Restrictive Formulary

RESTRICTIVE PMB FORMULARYEffective 1 Nov 2011

Drug Name Active Ingredient Strength Drug Form

Chronic Medicine Management Reimbursement Criteria for formulary drugs

Inhaled B2 agonistsAIROMIR INHALER Salbutamol 100MCG INH Accepted treatmentASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatmentASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatmentASTHAVENT 300D ECOHALER CFC FREE Salbutamol 100MCG INH Accepted treatmentVENTEZE COMPLETE Salbutamol 100MCG INH Accepted treatmentVENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatmentVENTOLIN INHALER 200 CFC FREE Salbutamol 100MCG INH Accepted treatmentLong acting B2 agonistsFORADIL DRY Formoterol 12MCG CPS Clinical Review

Asthma

Clinical Review - will be authorised if the drug history or co-morbidity clearly indicates that use of the drug is indicated in the specific patient.

Specialist Motivation - will require a relevant specialist motivation before reimbursement is consideredSpecial Investigations (SI) - results of recent relevant tests required before reimbursement is considered

Quantity/dosage and duration of authorisation may vary - depending on the requested drug.

Clinical Motivation - specific clinical information required before reimbursement is consideredSpecialist Script - will require a relevant specialist's prescription before reimbursement is considered

Accepted Treatment - will be authorised without requesting additional clinical information (unless specific concerns e.g. unusual dose requests).

Products included on this chronic medicines formulary will not attract a co-payment if authorised by Chronic Medicine Management for a disease on the CDL and obtained from the Designated Service Provider. Reimbursement will however be subject to the Chronic Medicine Management clinical guidelines and protocols and the Medicine Price List (MPL).

KEY to Chronic Medicine Management Reimbursement Criteria:

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FORADIL DRY Formoterol 12MCG CPS Clinical ReviewFORADIL DRY Formoterol 12MCG CAP Clinical ReviewFORATEC DP CAPS Formoterol 12MCG INH Clinical ReviewInhaled corticosteroidsBECEZE INHALER COMPLETE Beclomethasone 100MCG INH Accepted treatmentBECEZE INHALER COMPLETE Beclomethasone 50MCG INH Accepted treatmentBECLATE INHALER Beclomethasone 100MCG INH Accepted treatmentBECLATE INHALER Beclomethasone 200MCG INH Accepted treatmentBECLATE INHALER Beclomethasone 50MCG INH Accepted treatmentBECOTIDE 100 COMP Beclomethasone 100MCG INH Accepted treatmentBECOTIDE 100 REFILL Beclomethasone 100MCG REF Accepted treatmentBECOTIDE COMPLETE Beclomethasone 50MCG INH Accepted treatmentBECOTIDE REFILL Beclomethasone 50MCG REF Accepted treatmentBUDEFLAM CFC FREE 200MCG 300 DOSE INH Budesonide 200MCG INH Accepted treatmentBUDEFLAM CFC FREE 300 DOSE INH Budesonide 100MCG INH Accepted treatmentBUDEFLAM DP CAPS Budesonide 200MCG CAP Accepted treatmentFOXAIR 50/100 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatmentFOXAIR 50/250 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatmentFOXAIR 50/500 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatmentFOXAIR 25/125 120DOSE Salmeterol and other anti-asthmatics 25MCG/125MCG INH Accepted treatmentFOXAIR 25/250 120DOSE Salmeterol and other anti-asthmatics 25MCG/250MCG INH Accepted treatmentFOXAIR 25/50 120 DOSE Salmeterol and other anti-asthmatics 25MCG/50MCG INH Accepted treatmentINFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 100MCG INH Accepted treatmentINFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 200MCG INH Accepted treatmentINFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 50MCG INH Accepted treatment

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Restrictive Formulary

INFLAMMIDE INHALATION SYSTEM 300 DOSE Budesonide 100MCG KIT Accepted treatmentINFLAMMIDE INHALATION SYSTEM 300 DOSE Budesonide 200MCG KIT Accepted treatmentINFLAMMIDE 200 NOVOLIZE REFIL Budesonide 200MCG REF Accepted treatmentINFLAMMIDE 200 NOVOLIZER COMPL Budesonide 200MCG INH Accepted treatmentINFLAMMIDE NOVOLIZER COMPLETE 100DOSE Budesonide 400MCG INH Accepted treatmentINFLAMMIDE NOVOLIZER REFILL 100DOSE Budesonide 400MCG REF Accepted treatmentPULMICORT 200 TURB (200 DOSE) Budesonide 200MCG ATH Accepted treatmentROLAB-BECLOMETHASONE DIPROPIONATE AEROSO Beclomethasone 50MCG INH Accepted treatmentROLAB-BECLOMETHASONE DIPROPIONATE AEROSO Beclomethasone 50MCG REF Accepted treatmentSEREFLO 25/125 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Accepted treatmentSEREFLO 25/250 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Accepted treatmentSEREFLO 25/50 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Accepted treatmentSERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Accepted treatmentSERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Accepted treatmentSERETIDE 25/50 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Accepted treatmentSERETIDE 50/100 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/100MCG INH Accepted treatmentSERETIDE 50/250 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/250MCG INH Accepted treatmentSERETIDE 50/500 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/500MCG INH Accepted treatmentOral XanthinesPULMOPHYLLIN SR 200 Theophylline 200MG SRT Clinical ReviewPULMOPHYLLIN SR 300 Theophylline 300MG SRT Clinical ReviewROLAB-THEOPHYLLINE ANHYDROUS Theophylline 200MG SRT Clinical ReviewROLAB-THEOPHYLLINE ANHYDROUS Theophylline 300MG SRT Clinical ReviewTHEOPHEN Theophylline SYR Clinical ReviewOral CorticosteroidsASPELONE Prednisolone 15MG/5ML LIQ Specialist scriptCAPSOID Prednisolone 5MG TAB Specialist scriptLENISOLONE Prednisolone 5MG TAB Specialist scriptPANAFCORT Prednisone 5MG TAB Specialist scriptPREDNISONE (BE-TABS) Prednisone 5mg TAB Specialist script

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PREDNISONE (BE-TABS) Prednisone 5mg TAB Specialist scriptPREDNISONE (FAMS) Prednisone 5MG TAB Specialist scriptPREFLAM Prednisolone 15MG/5ML SYR Specialist scriptPRELONE Prednisolone 15MG/5ML SYR Specialist scriptPULMISON ORAL SOLUTION Prednisone 5MG/1ML SYR Specialist scriptTROLIC Prednisone 5MG TAB Specialist script

Oral CorticosteroidsCOVOCORT Hydrocortisone 10MG TAB Accepted treatmentFLORINEF ACETATE Fludrocortisone 0.1MG TAB Accepted treatment

Mood StabilisersARROW LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentASPEN LAMOTRIGINE 100MG Lamotrigine 100MG TAB Accepted treatmentASPEN LAMOTRIGINE 200MG Lamotrigine 200MG TAB Accepted treatmentASPEN LAMOTRIGINE 25MG Lamotrigine 25MG TAB Accepted treatmentASPEN LAMOTRIGINE 50MG Lamotrigine 50MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatment

Addison's disease

Bipolar Mood Disorder

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Restrictive Formulary

AUSTELL-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentCAMCOLIT Lithium 250MG TAB Accepted treatmentCAMCOLIT Lithium 400MG TAB Accepted treatmentCONVULEX Valproic acid 150MG CAP Accepted treatmentCONVULEX Valproic acid 250MG/5ML SYR Accepted treatmentCONVULEX Valproic acid 300MG CAP Accepted treatmentCONVULEX Valproic acid 500MG CAP Accepted treatmentDEGRANOL Carbamazepine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentEPILIM 200 EC Valproic acid 200MG ECT Accepted treatmentEPILIM 500 EC Valproic acid 500MG ECT Accepted treatmentEPILIM CR Valproic acid 200MG SRT Accepted treatmentEPILIM CR Valproic acid 300MG SRT Accepted treatmentEPILIM CR Valproic acid 500MG SRT Accepted treatmentEPILIM CRUSHABLE Valproic acid 100MG TAB Accepted treatmentEPILIM SUGAR FREE Valproic acid 200MG/5ML SYR Accepted treatmentEPITEC 100MG Lamotrigine 100MG TAB Accepted treatmentEPITEC 200MG Lamotrigine 200MG TAB Accepted treatmentEPITEC 25MG Lamotrigine 25MG TAB Accepted treatmentEPITEC 50MG Lamotrigine 50MG TAB Accepted treatmentLAMEPTIL Lamotrigine 100MG TAB Accepted treatmentLAMEPTIL Lamotrigine 200MG TAB Accepted treatmentLAMEPTIL Lamotrigine 25MG TAB Accepted treatmentLAMEPTIL Lamotrigine 50MG TAB Accepted treatmentLAMICTIN Lamotrigine 100MG TAB Accepted treatmentLAMICTIN Lamotrigine 200MG TAB Accepted treatmentLAMICTIN Lamotrigine 25MG TAB Accepted treatment

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LAMICTIN Lamotrigine 25MG TAB Accepted treatmentLAMICTIN Lamotrigine 50MG TAB Accepted treatmentLamictin 25 m starter pk-monotherapy Lamotrigine 25MG TAB Accepted treatmentLamictin 25 vp starter pk-add on Lamotrigine 25MG TAB Accepted treatmentLamictin 50 nvp starter pk-non valpr ao Lamotrigine 50MG TAB Accepted treatmentLAMICTIN P100 Lamotrigine 100MG DSP Accepted treatmentLAMICTIN P2 Lamotrigine 2MG DSP Accepted treatmentLAMICTIN P200 Lamotrigine 200MG DSP Accepted treatmentLAMICTIN P25 Lamotrigine 25MG DSP Accepted treatmentLAMICTIN P5 Lamotrigine 5MG DSP Accepted treatmentLAMICTIN P50 Lamotrigine 50MG DSP Accepted treatmentLAMIDUS Lamotrigine 100MG TAB Accepted treatmentLAMIDUS Lamotrigine 200MG TAB Accepted treatmentLAMIDUS Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 100MG TAB Accepted treatmentLAMITOR Lamotrigine 25MG TAB Accepted treatmentLAMITOR Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 200MG TAB Accepted treatmentLENTOLITH Lithium 400MG CAP Accepted treatmentQUILONUM RETARD Lithium 450MG TAB Accepted treatmentROLAB-CARBAMAZEPINE Carbamazepine 200MG TAB Accepted treatmentSANDOZ CARBAMAZEPINE CR200 Carbamazepine 200MG SRT Accepted treatmentSANDOZ CARBAMAZIPINE CR400 Carbamazepine 400MG SRT Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatment

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Restrictive Formulary

SANDOZ LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentTEGRETOL S Carbamazepine 100MG/5ML SUS Accepted treatmentAntipsychotic agentsASPEN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)

ASPEN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)BIO-SULPIRIDE Sulpiride 200MG TAB Accepted treatmentCLOMENT Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)CLOMENT Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)CLOPIXOL DEPOT Zuclopenthixol 200MG/1ML INJS Accepted treatment CLOZAPINE-HEXAL Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)CLOZAPINE-HEXAL Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)EGLONYL FORTE Sulpiride 200MG TAB Accepted treatmentFLUANXOL DEPOT 1ML Flupentixol 20MG/1ML INJS Accepted treatmentFLUANXOL DEPOT 2ML Flupentixol 40MG/2ML INJS Accepted treatmentLARGACTIL Chlorpromazine 100MG TAB Accepted treatmentLARGACTIL Chlorpromazine 10MG TAB Accepted treatmentLARGACTIL Chlorpromazine 25MG TAB Accepted treatment

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LARGACTIL Chlorpromazine 25MG TAB Accepted treatmentLARGACTIL Chlorpromazine 50MG TAB Accepted treatmentLEPONEX Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)LEPONEX Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)MODECATE 1ML Fluphenazine 25MG/1ML INJS Accepted treatmentMODECATE+SYRINGE 1ML Fluphenazine 25MG/1ML INJS Accepted treatmentPERIZAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)

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Restrictive Formulary

RISPERDAL QUICKLET Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)ROLAB-HALOPERIDOL Haloperidol 1.5MG TAB Accepted treatmentROLAB-HALOPERIDOL Haloperidol 5MG TAB Accepted treatmentSCHIZOROL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)SCHIZOROL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)SCHIZOROL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)SERENACE Haloperidol 0.5MG CAP Accepted treatmentSERENACE Haloperidol 1.5MG TAB Accepted treatmentSERENACE Haloperidol 10MG TAB Accepted treatmentSERENACE Haloperidol 5MG TAB Accepted treatmentSTELAZINE Trifluoperazine 1MG TAB Accepted treatmentSTELAZINE Trifluoperazine 5MG TAB Accepted treatmentZOXADON Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)ZOXADON Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)ZOXADON Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)AntidepressantsARROW CITALOPRAM Citalopram 20MG TAB Accepted treatmentARROW CITALOPRAM Citalopram 40MG TAB Accepted treatment

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ARROW CITALOPRAM Citalopram 40MG TAB Accepted treatmentAURO-CITALOPRAM Citalopram 20MG TAB Accepted treatmentAUSTELL-CITALOPRAM Citalopram 10MG TAB Accepted treatmentAUSTELL-CITALOPRAM Citalopram 20MG TAB Accepted treatmentAUSTELL-CITALOPRAM Citalopram 40MG TAB Accepted treatmentA-LENNON FLUOXETINE Fluoxetine 20MG CAP Accepted treatmentCILATE Citalopram 20MG TAB Accepted treatmentCILIFT Citalopram 20MG TAB Accepted treatmentCILORAM Citalopram 20MG TAB Accepted treatmentCIPRAMIL Citalopram 20MG TAB Accepted treatmentCITALOHEXAL Citalopram 20MG TAB Accepted treatmentCITALOPRAM-WINTHROP Citalopram 20MG TAB Accepted treatmentCITALOPRAM-WINTHROP Citalopram 40MG TAB Accepted treatmentDEPRAMIL 20MG Citalopram 20MG TAB Accepted treatmentDEPRAMIL Citalopram 40MG TAB Accepted treatmentDEPROZAN Fluoxetine 20MG CAP Accepted treatmentDRL CITALOPRAM Citalopram 20MG TAB Accepted treatmentDRL CITALOPRAM Citalopram 40MG TAB Accepted treatmentETHIPRAMINE Imipramine 10MG TAB Accepted treatmentETHIPRAMINE Imipramine 25MG TAB Accepted treatmentFLUTINOL Fluoxetine 20MG CAP Accepted treatmentLILLY-FLUOXETINE Fluoxetine 20MG CAP Accepted treatmentLORIEN Fluoxetine 20MG CAP Accepted treatmentLORIEN 20MG Fluoxetine 20MG TAB Accepted treatmentNORILINE Amitriptyline 10MG TAB Accepted treatment

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Restrictive Formulary

NORILINE Amitriptyline 25MG TAB Accepted treatmentNUZAK Fluoxetine 20MG CAP Accepted treatmentPROHEXAL Fluoxetine 20MG CAP Accepted treatmentPROHEXAL 20T Fluoxetine 20MG DSP Accepted treatmentPROHEXAL 40T Fluoxetine 40MG DSP Accepted treatmentPROTHIADEN Dothiepin 25MG CAP Accepted treatmentPROTHIADEN Dothiepin 75MG TAB Accepted treatmentPROZAC Fluoxetine 20MG TAB Accepted treatmentPROZAC LIQUID Fluoxetine 20MG/5ML SYR Accepted treatmentPROZAC 20 Fluoxetine 20MG CAP Accepted treatmentPROZAC 40 SI Fluoxetine 40MG CAP Accepted treatmentRAN CITALOPRAM Citalopram 20MG TAB Accepted treatmentRAN CITALOPRAM Citalopram 40MG TAB Accepted treatmentRANFLOCS Fluoxetine 20MG CAP Accepted treatmentREZAK Fluoxetine 20MG CAP Accepted treatmentROLAB-AMITRIPTYLINE HCL Amitriptyline 25MG TAB Accepted treatmentROLAB-DOTHIEPIN Dothiepin 25MG CAP Accepted treatmentROLAB-DOTHIEPIN Dothiepin 75MG TAB Accepted treatmentROLAB-FLUOXETINE Fluoxetine 20MG CAP Accepted treatmentSANDOZ CITALOPRAM Citalopram 20MG TAB Accepted treatmentSANDOZ CITALOPRAM Citalopram 40MG TAB Accepted treatmentSIMAYLA CITALOPRAM Citalopram 20MG TAB Accepted treatmentTALOMIL Citalopram 20MG TAB Accepted treatmentTHADEN Dothiepin 25MG CAP Accepted treatmentTHADEN Dothiepin 75MG TAB Accepted treatmentTOFRANIL Imipramine 10MG TAB Accepted treatmentTOFRANIL Imipramine 25MG TAB Accepted treatmentTREPILINE Amitriptyline 10MG TAB Accepted treatmentTREPILINE Amitriptyline 25MG TAB Accepted treatmentTRIZAC Fluoxetine 20MG CAP Accepted treatment

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TRIZAC Fluoxetine 20MG CAP Accepted treatmentTRYPTANOL Amitriptyline 25MG TAB Accepted treatmentZYDUS FLUOXETINE Fluoxetine 20MG CAP Accepted treatment

Antibiotic therapy will be evaluated on an individual basis

Inhaled B2 agonistsAIROMIR INHALER Salbutamol 100MCG INH Accepted treatmentASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatmentASTHAVENT 300 DOSE Salbutamol 100MCG INH Accepted treatmentASTHAVENT 300D ECOHALER CFC FREE Salbutamol 100MCG INH Accepted treatmentVENTEZE COMPLETE Salbutamol 100MCG INH Accepted treatmentVENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatmentVENTOLIN INHALER 200 CFC FREE Salbutamol 100MCG INH Accepted treatmentInhaled corticosteroidsBECEZE INHALER COMPLETE Beclomethasone 100MCG INH Special Investigations (SI)BECEZE INHALER COMPLETE Beclomethasone 50MCG INH Special Investigations (SI)BECLATE INHALER Beclomethasone 100MCG INH Special Investigations (SI)BECLATE INHALER Beclomethasone 200MCG INH Special Investigations (SI)BECLATE INHALER Beclomethasone 50MCG INH Special Investigations (SI)BECOTIDE 100 COMP Beclomethasone 100MCG INH Special Investigations (SI)BECOTIDE 100 REFILL Beclomethasone 100MCG REF Special Investigations (SI)BECOTIDE COMPLETE Beclomethasone 50MCG INH Special Investigations (SI)

Bronchiectasis

Chronic Obstructive Pulmonary Disease

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Restrictive Formulary

BECOTIDE REFILL Beclomethasone 50MCG REF Special Investigations (SI)BUDEFLAM CFC FREE 200MCG 300 DOSE INH Budesonide 200MCG INH Special Investigations (SI)BUDEFLAM CFC FREE 300 DOSE INH Budesonide 100MCG INH Special Investigations (SI)BUDEFLAM DP CAPS Budesonide 200MCG CAP Special Investigations (SI)FOXAIR 50/100 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI)FOXAIR 50/250 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI)FOXAIR 50/500 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI)FOXAIR 25/125 120DOSE Salmeterol and other anti-asthmatics 25MCG/125MCG INH Special Investigations (SI)FOXAIR 25/250 120DOSE Salmeterol and other anti-asthmatics 25MCG/250MCG INH Special Investigations (SI)FOXAIR 25/50 120 DOSE Salmeterol and other anti-asthmatics 25MCG/50MCG INH Special Investigations (SI)INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 100MCG INH Special Investigations (SI)INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 200MCG INH Special Investigations (SI)INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 50MCG INH Special Investigations (SI)INFLAMMIDE INHALATION SYSTEM 300 DOSE Budesonide 100MCG KIT Special Investigations (SI)INFLAMMIDE INHALATION SYSTEM 300 DOSE Budesonide 200MCG KIT Special Investigations (SI)INFLAMMIDE 200 NOVOLIZE REFIL Budesonide 200MCG REF Special Investigations (SI)INFLAMMIDE 200 NOVOLIZER COMPL Budesonide 200MCG INH Special Investigations (SI)INFLAMMIDE NOVOLIZER COMPLETE 100DOSE Budesonide 400MCG INH Special Investigations (SI)INFLAMMIDE NOVOLIZER REFILL 100DOSE Budesonide 400MCG REF Special Investigations (SI)PULMICORT 200 TURB (200 DOSE) Budesonide 200MCG ATH Special Investigations (SI)ROLAB-BECLOMETHASONE DIPROPIONATE AEROSO Beclomethasone 50MCG INH Special Investigations (SI)ROLAB-BECLOMETHASONE DIPROPIONATE AEROSO Beclomethasone 50MCG REF Special Investigations (SI)SEREFLO 25/125 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Special Investigations (SI)SEREFLO 25/250 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Special Investigations (SI)SEREFLO 25/50 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Special Investigations (SI)SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Special Investigations (SI)SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Special Investigations (SI)SERETIDE 25/50 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Special Investigations (SI)SERETIDE 50/100 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/100MCG INH Special Investigations (SI)SERETIDE 50/250 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/250MCG INH Special Investigations (SI)

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SERETIDE 50/250 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/250MCG INH Special Investigations (SI)SERETIDE 50/500 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/500MCG INH Special Investigations (SI)Anticholinergic inhalers (short acting)ATROVENT 40 MAC COMPL 300 DOSE Ipratropium bromide 40MCG INH Accepted treatmentIPVENT-40 Ipratropium bromide 40MCG INH Accepted treatmentIPVENT HFA 200 DOSE Ipratropium bromide 40MCG/1DOSE INH Accepted treatmentOral XanthinesPULMOPHYLLIN SR 200 Theophylline 200MG SRT Accepted treatmentPULMOPHYLLIN SR 300 Theophylline 300MG SRT Accepted treatmentROLAB-THEOPHYLLINE ANHYDROUS Theophylline 200MG SRT Accepted treatmentROLAB-THEOPHYLLINE ANHYDROUS Theophylline 300MG SRT Accepted treatmentOral CorticosteroidsCAPSOID Prednisolone 5MG TAB Special Investigations (SI)LENISOLONE Prednisolone 5MG TAB Special Investigations (SI)PREDNISONE (BE-TABS) Prednisone 5mg TAB Special Investigations (SI)PREDNISONE (FAMS) Prednisone 5MG TAB Special Investigations (SI)TROLIC Prednisone 5MG TAB Special Investigations (SI)

AnticoagulantsWARFARIN Warfarin 5MG TAB Accepted treatmentCIPLA WARFARIN 1MG Warfarin 1MG TAB Accepted treatmentCIPLA-WARFARIN Warfarin 3MG TAB Accepted treatmentCIPLA WARFARIN 5MG Warfarin 5MG TAB Accepted treatmentDiuretics

Cardiac failure/ Cardiomyopathy

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ADCO-RETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentALDACTONE Spironolactone 25MG APP Accepted treatmentAMILORETIC Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatmentAMILORETIC HS Hydrochlorothiazide and potassium-sparing agents 2.5MG/25MG TAB Accepted treatmentAQUARID Furosemide 40MG CAP Accepted treatmentBEURISES Furosemide 40MG TAB Accepted treatmentBETARETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentCATEXAN Indapamide 2.5MG TAB Accepted treatmentCIPLA-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentDAPAMAX Indapamide 2.5MG TAB Accepted treatmentDAPTRIL Indapamide 2.5MG TAB Accepted treatmentDINO-RETIC Furosemide 40MG TAB Accepted treatmentDIURESIX Furosemide 40MG TAB Accepted treatmentDYAZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatmentHEXARETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentHEXAZIDE Hydrochlorothiazide 25MG TAB Accepted treatmentHYDRO-LESS Indapamide 2.5MG TAB Accepted treatmentINDALIX Indapamide 2.5MG TAB Accepted treatmentLASIX ORAL Furosemide 10MG/1ML SLN Clinical reviewLIXAMIDE Indapamide 2.5MG TAB Accepted treatmentMYLAN FUROSEMIDE Furosemide 40MG TAB Accepted treatmentMYLAN-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentMODURETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentMODURETIC HS Hydrochlorothiazide and potassium-sparing agents 2.5MG/25MG TAB Accepted treatmentNATRILIX Indapamide 2.5MG TAB Accepted treatmentRENEZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatmentRIDAQ Hydrochlorothiazide 25MG TAB Accepted treatmentRIDAQ Hydrochlorothiazide 12.5MG TAB Accepted treatmentROLAB-AMILORIDE HCL/HYDROCHLOROTHIAZIDE Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentROLAB-FUROSEMIDE Furosemide 40MG TAB Accepted treatment

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ROLAB-FUROSEMIDE Furosemide 40MG TAB Accepted treatmentROLAB-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentROLAB-SPIRONOLACTONE Spironolactone 25MG TAB Accepted treatmentROLAB-TRIAMTERENE/HYDROCHLOROTHIAZIDE Hydrochlorothiazide and potassium-sparing agents 50MG/25MG TAB Accepted treatmentSPEC-CO-AMILORIDE Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatmentSPIRACTIN Spironolactone 25MG TAB Accepted treatmentUREMIDE Furosemide 40MG TAB Accepted treatmentURIREX-K Hydrochlorothiazide and potassium TAB Accepted treatmentPotassium supplementationPLENISH K Potassium chloride 600MG TAB Accepted treatmentSANDOZ K-600 Potassium chloride 600MG TAB Accepted treatmentSLOW-K Potassium chloride 600MG TAB Accepted treatmentACE inhibitorsACCUMAX Quinapril 10MG TAB Accepted treatmentACCUMAX Quinapril 20MG TAB Accepted treatmentACCUPRIL Quinapril 10MG TAB Accepted treatmentACCUPRIL Quinapril 20MG TAB Accepted treatmentACETEN Captopril 12.5MG TAB Accepted treatmentACETEN Captopril 25MG TAB Accepted treatmentACETEN Captopril 50MG TAB Accepted treatmentADCO-CAPTOPRIL Captopril 25MG TAB Accepted treatmentADCO-CAPTOPRIL Captopril 50MG TAB Accepted treatmentADCO-ENALAPRIL 10MG Enalapril 10MG TAB Accepted treatmentADCO-ENALAPRIL 20MG Enalapril 20MG TAB Accepted treatmentADCO-ENALAPRIL 5MG Enalapril 5MG TAB Accepted treatment

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ALAPREN 10 Enalapril 10MG TAB Accepted treatmentALAPREN 20 Enalapril 20MG TAB Accepted treatmentALAPREN 5 Enalapril 5MG TAB Accepted treatmentAPEX-LISINOPRIL Lisinopril 20MG TAB Accepted treatmentAUSTELL LISINOPRIL 2.5MG Lisinopril 2.5MG TAB Accepted treatmentAUSTELL-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentAUSTELL LISINOPRIL 20MG Lisinopril 20MG TAB Accepted treatmentAURO-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentAURO-LISINOPRIL Lisinopril 20MG TAB Accepted treatmentAURO-LISINOPRIL Lisinopril 5MG TAB Accepted treatmentCAPACE Captopril 25MG TAB Accepted treatmentCAPOTEN Captopril 25MG APP Accepted treatmentCAPOTEN Captopril 50MG APP Accepted treatmentCAPOTEN HS Captopril 12.5MG APP Accepted treatmentCAPTOHEXAL Captopril 12.5MG TAB Accepted treatmentCAPTOHEXAL Captopril 25MG TAB Accepted treatmentCAPTOHEXAL Captopril 50MG TAB Accepted treatmentCAPTOMAX Captopril 25MG TAB Accepted treatmentCAPTOMAX Captopril 50MG TAB Accepted treatmentCIPLATEC 10 Enalapril 10MG TAB Accepted treatmentCIPLATEC 20MG Enalapril 20MG TAB Accepted treatmentCIPLATEC 5 Enalapril 5MG TAB Accepted treatmentENAP 10MG Enalapril 10MG TAB Accepted treatmentENAP 20MG Enalapril 20MG TAB Accepted treatmentENAP 5MG Enalapril 5MG TAB Accepted treatmentENVAS Enalapril 10MG TAB Accepted treatmentENVAS Enalapril 5MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 20MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 5MG TAB Accepted treatment

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HEXAL-LISINOPRIL Lisinopril 5MG TAB Accepted treatmentHR-ENALAPRIL 10 Enalapril 10MG TAB Accepted treatmentHR-ENALAPRIL 20 Enalapril 20MG TAB Accepted treatmentHR-ENALAPRIL 5 Enalapril 5MG TAB Accepted treatmentHYPACE Enalapril 5MG TAB Accepted treatmentMYLAN CAPTOPRIL Captopril 25MG TAB Accepted treatmentMYLAN-CAPTOPRIL Captopril 50MG TAB Accepted treatmentPHARMAPRESS Enalapril 5MG TAB Accepted treatmentPHARMAPRESS Enalapril 10MG TAB Accepted treatmentPHARMAPRESS Enalapril 20MG TAB Accepted treatmentPRILOSIN 10MG Lisinopril 10MG TAB Accepted treatmentPRILOSIN 5MG Lisinopril 5MG TAB Accepted treatmentPRINIVIL Lisinopril 10MG TAB Accepted treatmentPRINIVIL Lisinopril 20MG TAB Accepted treatmentPRINIVIL Lisinopril 5MG TAB Accepted treatmentQUINACE Quinapril 10MG TAB Accepted treatmentQUINACE Quinapril 20MG TAB Accepted treatmentQUINAGEN Quinapril 10MG TAB Accepted treatmentQUINAGEN Quinapril 20MG TAB Accepted treatmentQUINASPEN 10MG Quinapril 10MG TAB Accepted treatmentQUINASPEN 20MG Quinapril 20MG TAB Accepted treatmentRENITEC Enalapril 10MG TAB Accepted treatmentRENITEC Enalapril 2.5MG TAB Accepted treatmentRENITEC Enalapril 20MG TAB Accepted treatmentRENITEC Enalapril 5MG TAB Accepted treatment

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Restrictive Formulary

RENOTENS 5 Lisinopril 5MG TAB Accepted treatmentRENOTENS 10 Lisinopril 10MG TAB Accepted treatmentRENOTENS 20 Lisinopril 20MG TAB Accepted treatmentROLAB-CAPTOPRIL Captopril 25MG TAB Accepted treatmentROLAB-CAPTOPRIL Captopril 50MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 10MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 20MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 5MG TAB Accepted treatmentSINOPREN 10 Lisinopril 10MG TAB Accepted treatmentSINOPREN 20 Lisinopril 20MG TAB Accepted treatmentSINOPREN 5 Lisinopril 5MG TAB Accepted treatmentZAPTO Captopril 25MG TAB Accepted treatmentZAPTO Captopril 50MG TAB Accepted treatmentZEMAX 10 Lisinopril 10MG TAB Accepted treatmentZEMAX 20 Lisinopril 20MG TAB Accepted treatmentZEMAX 5 Lisinopril 5MG TAB Accepted treatmentZEPROSIL 10MG Lisinopril 10MG TAB Accepted treatmentZEPROSIL 20MG Lisinopril 20MG TAB Accepted treatmentZEPROSIL 5MG Lisinopril 5MG TAB Accepted treatmentZESTRIL Lisinopril 10MG TAB Accepted treatmentZESTRIL Lisinopril 20MG TAB Accepted treatmentZESTRIL Lisinopril 5MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 10MG Lisinopril 10MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 20MG Lisinopril 20MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 5MG Lisinopril 5MG TAB Accepted treatmentACE inhibitor and diuretic combinationsAURO-LISINOPRIL CO Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentAURO-LISINOPRIL CO Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentCAPOZIDE Captopril and diuretics 50MG/25MG TAB Accepted treatmentCAPTORETIC Captopril and diuretics 50MG/25MG TAB Accepted treatment

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CAPTORETIC Captopril and diuretics 50MG/25MG TAB Accepted treatmentCO-RENITEC Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentDIACE CO Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentENAP-CO Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentHEXAL LISINOPRIL CO 10 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentHEXAL LISINOPRIL CO 20 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISINOZIDE Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISINOZIDE Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISORETIC 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISORETIC 20/12.5 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISOZIDE 10MG/12.5MG Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISOZIDE 20MG/12.5MG Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentPHARMAPRESS CO Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentZAPTO-CO Captopril and diuretics 50MG/25MG TAB Accepted treatmentZETOMAX CO 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentZETOMAX CO 20/12.5 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentZETOMAX CO 20/25 Lisinopril and diuretics 20MG/25MG TAB Accepted treatmentZESTORETIC Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentZESTORETIC Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentZESTOZIDE 20 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentAngiotensin Receptor BlockersCOZAAR Losartan 50MG TAB Accepted treatmentCOZAAR Losartan 100MG TAB Accepted treatmentCIPLA-LOSARTAN Losartan 100MG TAB Accepted treatmentCIPLA-LOSARTAN Losartan 50MG TAB Accepted treatment

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LOS-ARB Losartan 50MG TAB Accepted treatmentLEPITRIN Losartan 50MG TAB Accepted treatmentLOSARTAN-WINTHROP Losartan 50MG TAB Accepted treatmentRENICARD Losartan 50MG TAB Accepted treatmentSPEC-LOSARTAN Losartan 100MG TAB Accepted treatmentSPEC-LOSARTAN Losartan 50MG TAB Accepted treatmentZARTAN Losartan 50MG TAB Accepted treatmentZARTAN Losartan 100MG TAB Accepted treatmentAngiotensin Receptor Blockers and diuretic combinationsCOZAAR COMP Losartan and diuretics 50MG/12.5 MG TAB Accepted treatmentFORTZAAR Losartan and diuretics 100MG/25MG TAB Accepted treatmentLOHYPE FORTE PLUS 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatmentLOHYPE PLUS 50MG/12.5MG Losartan and diuretics 50MG/12.5 MG TAB Accepted treatmentLOSAAR PLUS 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatmentLOSAAR PLUS 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatmentLOZAAN CO 100/25 Losartan and diuretics 100MG/25MG TAB Accepted treatmentLOZAAN CO 50/12.5 Losartan and diuretics 50MG/12.5MG TAB Accepted treatmentNETRASOL CO 50/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatmentNETRASOL CO 100/25MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatmentSARTOC 50/12.5 Losartan and diuretics 50MG/12.5MG TAB Accepted treatmentZARTAN CO 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatmentZARTAN CO 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

Beta-blockersADCO-ATENOLOL Atenolol 100MG TAB Accepted treatmentADCO-ATENOLOL Atenolol 50MG TAB Accepted treatmentADCO BISOCOR 10MG Bisoprolol 10MG TAB Accepted treatmentADCO BISOCOR 5MG Bisoprolol 5MG TAB Accepted treatmentB-BLOCK Atenolol 100MG TAB Accepted treatmentB-BLOCK Atenolol 50MG TAB Accepted treatment

11 01/11/2011

B-BLOCK Atenolol 50MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 10MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 5MG TAB Accepted treatmentBILOCOR 10 Bisoprolol 10MG TAB Accepted treatmentBILOCOR 5 Bisoprolol 5MG TAB Accepted treatmentBISOHEXAL 10 Bisoprolol 10MG TAB Accepted treatmentBISOHEXAL 5 Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 5MG TAB Accepted treatmentCARDICOR 10MG Bisoprolol 10MG TAB Accepted treatmentCARDICOR 2.5MG Bisoprolol 2.5MG TAB Accepted treatmentCARDICOR 5MG Bisoprolol 5MG TAB Accepted treatmentCONCOR Bisoprolol 10MG TAB Accepted treatmentCONCOR Bisoprolol 5MG TAB Accepted treatmentGULF ATENOLOL Atenolol 100MG TAB Accepted treatmentGULF ATENOLOL Atenolol 50MG TAB Accepted treatmentHEXA-BLOK Atenolol 100MG TAB Accepted treatmentHEXA-BLOK Atenolol 50MG TAB Accepted treatmentINDERAL Propranolol 10MG TAB Accepted treatmentINDERAL Propranolol 40MG TAB Accepted treatmentINDOBLOK 10 Propranolol 10MG TAB Accepted treatmentINDOBLOK 40 Propranolol 40MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 100MG TAB Accepted treatment

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Restrictive Formulary

NORTON-ATENOLOL Atenolol 50MG TAB Accepted treatmentPRODOROL Propranolol 10MG TAB Accepted treatmentPRODOROL Propranolol 40MG TAB Accepted treatmentPURBLOKA Propranolol 10MG TAB Accepted treatmentPURBLOKA Propranolol 40MG APP Accepted treatmentROLAB-ATENOLOL Atenolol 100MG TAB Accepted treatmentROLAB-ATENOLOL Atenolol 50MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 10MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 40MG TAB Accepted treatmentTEN-BLOKA Atenolol 100MG TAB Accepted treatmentTEN-BLOKA Atenolol 50MG TAB Accepted treatmentTENOPRESS Atenolol 100MG TAB Accepted treatmentTENOPRESS Atenolol 25MG TAB Accepted treatmentTENOPRESS Atenolol 50MG TAB Accepted treatmentTENORMIN Atenolol 100MG TAB Accepted treatmentTENORMIN Atenolol 50MG TAB Accepted treatmentAlpha-beta blockersASPEN CARVEDILOL Carvedilol 12.5MG TAB Accepted treatmentASPEN CARVEDILOL Carvedilol 25MG TAB Accepted treatmentASPEN CARVEDILOL Carvedilol 6.25MG TAB Accepted treatmentCARLOC Carvedilol 25MG TAB Accepted treatmentCARLOC 6.25 Carvedilol 6.25MG TAB Accepted treatmentCARLOC 12.5 Carvedilol 12.5MG TAB Accepted treatmentCARVEDILOL-HEXAL Carvedilol 12.5MG TAB Accepted treatmentCARVEDILOL-HEXAL Carvedilol 25MG TAB Accepted treatmentCARVEDILOL-HEXAL Carvedilol 6.25MG TAB Accepted treatmentCARVETREND 12.5MG Carvedilol 12.5MG TAB Accepted treatmentCARVETREND 25MG Carvedilol 25MG TAB Accepted treatmentCARVETREND 6.25MG Carvedilol 6.25MG TAB Accepted treatmentDILATREND Carvedilol 12.5MG TAB Accepted treatment

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DILATREND Carvedilol 12.5MG TAB Accepted treatmentDILATREND Carvedilol 25MG TAB Accepted treatmentDILATREND Carvedilol 6.25MG TAB Accepted treatmentVEDIBLOK Carvedilol 12.5MG TAB Accepted treatmentVEDIBLOK Carvedilol 25MG TAB Accepted treatmentVEDIBLOK Carvedilol 6.25MG TAB Accepted treatmentBeta-blocker and diuretic combinationsADCO-LOTEN Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentROLAB-ATENOLOL/CHLORTHALIDONE 100/25 Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentROLAB-ATENOLOL/CHLORTHALIDONE 50/12.5 Atenolol and other diuretics 50MG/12.5MG TAB Accepted treatmentTENCHLOR Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentTENCHLOR HS Atenolol and other diuretics 50MG/12.5MG TAB Accepted treatmentCardiac glycosidesLANOXIN Digoxin 0.25MG TAB Accepted treatmentLANOXIN PAED Digoxin 0.05MG/1ML SYR Accepted treatmentLANOXIN PAED Digoxin 0.063MG TAB Accepted treatmentPURGOXIN Digoxin 0.25MG TAB Accepted treatment

For diuretics and antihypertensives, refer to "Hypertension"Calcium TITRALAC Calcium carbonate TAB Accepted treatmentENO TUMS Calcium carbonate 500MG CHU Accepted treatmentENO TUMS ASSORTED FRUIT FLAVOURS Calcium carbonate 500MG CHU Accepted treatmentENO TUMS ORANGE FLAVOUR ROLLPAC Calcium carbonate 500MG CHU Accepted treatment

Chronic Renal Disease

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Restrictive Formulary

ENO TUMS PEPPERMINT FLAVOUR ROLLPAC Calcium carbonate 500MG CHU Accepted treatmentVitamin DCALCIFEROL Ergocalciferol 50000IU TAB Accepted treatmentCALCIFEROL OILY 15ML Ergocalciferol 5000U/1ML APP Accepted treatmentONE ALPHA (014050) Alfacalcidol 0.25MCG CAP Accepted treatmentONE ALPHA (014052) Alfacalcidol 1MCG CAP Accepted treatmentONE ALPHA DROPS 20ML Alfacalcidol DRP Accepted treatmentROCALTROL Calcitriol 0.25MCG CAP Accepted treatmentOral Iron and Folic Acid supplementationAHA FERROUS SULPHATE Ferrous sulfate 30MG TAB Accepted treatmentAHA FOLIC ACID Folic acid 5MG TAB Accepted treatmentAHA FOLIC ACID Folic acid 0.5MG TAB Accepted treatmentBODY BALANCE FERROUS SULPHATE Ferrous sulfate 75MG TAB Accepted treatmentFERROUS SULPHATE Ferrous sulfate 100MG TAB Accepted treatmentFERROUS SULPHATE Ferrous sulfate 30MG TAB Accepted treatmentFERROUS SULPHATE Ferrous sulfate 75MG TAB Accepted treatmentFERROUS SULPHATE CO Ferrous sulfate TAB Accepted treatmentFOLIC ACID Folic acid .5MG TAB Accepted treatmentFOLIC ACID Folic acid 5MG TAB Accepted treatmentFOLIC ACID Folic acid 5MG TAB Accepted treatmentFOLIFERR Ferrous sulphate 100MG TAB Accepted treatmentGULF FERROUS SULPHATE COMPOUND Ferrous sulfate TAB Accepted treatmentSYR FERRI PHOS CO Ferrous sulfate LIQ Accepted treatmentParenteral Iron PreparationsCOSMOFER AMPOULE 2ML Ferric oxide dextran complex 50MG/1ML INJ Clinical motivationCOSMOFER AMPOULE 10ML Ferric oxide dextran complex 50MG/1ML INJ Clinical motivationFERRIMED 2ML Iron trivalent, parenteral preparations 50MG/1ML INJ Clinical motivationVENOFER 5X5ML AMP Saccharated iron oxide AMP Clinical motivationErythropoietinARANESP PREFILLED SYRINGE 0.3ML Darbepoetin alfa 150MCG/.3ML INJ Specialist motivation

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ARANESP PREFILLED SYRINGE 0.3ML Darbepoetin alfa 150MCG/.3ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.3ML Darbepoetin alfa 30MCG/.3ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.3ML Darbepoetin alfa 60MCG/.3ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.4ML Darbepoetin alfa 10MCG/.4ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.5ML Darbepoetin alfa 20MCG/.5ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.6ML Darbepoetin alfa 300MCG/.6ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.4ML darbepoetin alfa 40MCG/.4ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.4ML darbepoetin alfa 80MCG/.4ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.5ML darbepoetin alfa 100MCG/.5ML INJ Specialist motivationARANESP PREFILLED SYRINGE 0.5ML darbepoetin alfa 50MCG/.5ML INJ Specialist motivationEPREX 40 000 Erythropoietin 40000iu VIAL Specialist motivationEPREX 1ML Erythropoietin 10000U/1ML INJ Specialist motivationEPREX 1ML Erythropoietin 2000U/1ML INJ Specialist motivationEPREX 1ML Erythropoietin 4000U/1ML INJ Specialist motivationEPREX PREFILLED Erythropoietin 10000U/1ML INJ Specialist motivationEPREX PREFILLED Erythropoietin 2000U/.5ML INJ Specialist motivationEPREX PREFILLED Erythropoietin 4000U/.4ML INJ Specialist motivationEPREX PREFILLED Erythropoietin 40000U/1ML INJ Specialist motivationEPREX PREFILLED SYRINGE 0.6ML Erythropoietin 6000U/.6ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 100MCG/.3ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 150MCG/.3ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 200MCG/.3ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 250MCG/.3ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 50MCG/.3ML INJ Specialist motivationMIRCERA PREFILLED SYRINGE 0.3ML Methoxy polyethylene glycol-epoetin beta 75MCG/.3ML INJ Specialist motivation

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Restrictive Formulary

REPOTIN AMP 1ML Erythropoietin 2000U/1ML INJ Specialist motivationREPOTIN AMP 1ML Erythropoietin 4000U/1ML INJ Specialist motivationRECORMON 1000 Erythropoietin 1000U INJ Specialist motivationRECORMON 10000 Erythropoietin 10000iu INJ Specialist motivationRECORMON 10000 PRE-FILLED SYR Erythropoietin 10000IU INJ Specialist motivationRECORMON 10000 (5ML MULTIDOSE) Erythropoietin 100000IU INJ Specialist motivationRECORMON 2000 Erythropoietin 2000U INJ Specialist motivationRECORMON 20000 Erythropoietin 20000IU INJ Specialist motivationRECORMON 30000 PRE-FILLED SYR Erythropoietin 30000IU INJ Specialist motivationRECORMON 4000 IU/0.3ML Erythropoietin 4000IU/0.3ML INJ Specialist motivationRECORMON 500 IU/0.3ML Erythropoietin 500IU/0.3ML INJ Specialist motivationRECORMON 5000 Erythropoietin 5000U INJ Specialist motivationRECORMON 50000 (10ML MULTIDOSE) Erythropoietin 50000IU INJ Specialist motivationRECORMON 6000 PRE-FILLED SYR Erythropoietin 6000IU INJ Specialist motivation

AspirinASPIRIN (WHITE) Acetylsalicylic acid 300MG TAB Accepted treatmentASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN CARDIO Acetylsalicylic acid 100MG TAB Accepted treatmentCOMPRAL Acetylsalicylic acid 81MG TAB Accepted treatmentCOPRIN 81 Acetylsalicylic acid 81MG ECT Accepted treatmentDISPRIN CV Acetylsalicylic acid 100MG EEF Accepted treatmentDISPRIN CV Acetylsalicylic acid 300MG EEF Accepted treatmentDISPRIN REGULAR Acetylsalicylic acid 300MG EEF Accepted treatmentECOTRIN Acetylsalicylic acid 81MG ECT Accepted treatmentGENPHARM CHILDREN ASPIRIN (ASPIRIN JUNIO Acetylsalicylic acid 60MG TAB Accepted treatmentGULF ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentJUNIOR ASPIRIN (slt) Acetylsalicylic acid 97MG TAB Accepted treatment

Coronary Artery Disease

14 01/11/2011

JUNIOR ASPIRIN (slt) Acetylsalicylic acid 97MG TAB Accepted treatmentLO-ASPIRIN (CAPRIN) Acetylsalicylic acid 125MG TAB Accepted treatmentMYOPRIN Acetylsalicylic acid 100MG EEF Accepted treatmentPCH ACETYLSALICYLIC ACID CARDIO Acetylsalicylic acid 80MG DSP Accepted treatment

NitratesANGISED Glyceryl trinitrate 0.5MG TAB Accepted treatmentANGI-SPRAY 20ML Isosorbide dinitrate 1.25MG/0.09ML INH Accepted treatmentANGITRATE Isosorbide mononitrate 20MG TAB Accepted treatmentDINOSPRAY Isosorbide dinitrate 1.25MG/0.09ML UNIT Accepted treatmentELANTAN Isosorbide mononitrate 20MG TAB Accepted treatmentELANTAN LA Isosorbide mononitrate 50MG CAP Accepted treatmentIMDUR Isosorbide mononitrate 60MG SRT Accepted treatment ISMO 20 Isosorbide mononitrate 20MG TAB Accepted treatmentISORDIL Isosorbide dinitrate 10MG TAB Accepted treatmentISORDIL Isosorbide dinitrate 30MG TAB Accepted treatmentISORDIL SUBLINGUAL Isosorbide dinitrate 5MG TAB Accepted treatmentISORDIL TEMBID Isosorbide dinitrate 40MG TAB Accepted treatmentMONICOR SR Isosorbide mononitrate 60MG TAB Accepted treatmentROLAB-ISOSORBIDE DINITRATE Isosorbide dinitrate 10MG TAB Accepted treatmentROLAB-ISOSORBIDE DINITRATE Isosorbide dinitrate 30MG TAB Accepted treatmentROLAB-ISOSORBIDE DINITRATE SUBL Isosorbide dinitrate 5MG TAB Accepted treatmentBeta-blockersADCO-ATENOLOL Atenolol 100MG TAB Accepted treatmentADCO-ATENOLOL Atenolol 50MG TAB Accepted treatment

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Restrictive Formulary

ADCO BISOCOR 10MG Bisoprolol 10MG TAB Accepted treatmentADCO BISOCOR 5MG Bisoprolol 5MG TAB Accepted treatmentB-BLOCK Atenolol 100MG TAB Accepted treatmentB-BLOCK Atenolol 50MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 10MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 5MG TAB Accepted treatmentBISOHEXAL 10 Bisoprolol 10MG TAB Accepted treatmentBISOHEXAL 5 Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 5MG TAB Accepted treatmentCARDICOR 10MG Bisoprolol 10MG TAB Accepted treatmentCARDICOR 2.5MG Bisoprolol 2.5MG TAB Accepted treatmentCARDICOR 5MG Bisoprolol 5MG TAB Accepted treatmentCONCOR Bisoprolol 10MG TAB Accepted treatmentCONCOR Bisoprolol 5MG TAB Accepted treatmentGULF ATENOLOL Atenolol 100MG TAB Accepted treatmentGULF ATENOLOL Atenolol 50MG TAB Accepted treatmentHEXA-BLOK Atenolol 100MG TAB Accepted treatmentHEXA-BLOK Atenolol 50MG TAB Accepted treatmentINDERAL Propranolol 10MG TAB Accepted treatmentINDERAL Propranolol 40MG TAB Accepted treatmentINDOBLOK 10 Propranolol 10MG TAB Accepted treatmentINDOBLOK 40 Propranolol 40MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 100MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 50MG TAB Accepted treatmentPRODOROL Propranolol 10MG TAB Accepted treatmentPRODOROL Propranolol 40MG TAB Accepted treatmentPURBLOKA Propranolol 10MG TAB Accepted treatment

15 01/11/2011

PURBLOKA Propranolol 10MG TAB Accepted treatmentPURBLOKA Propranolol 40MG APP Accepted treatmentROLAB-ATENOLOL Atenolol 100MG TAB Accepted treatmentROLAB-ATENOLOL Atenolol 50MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 10MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 40MG TAB Accepted treatmentTEN-BLOKA Atenolol 100MG TAB Accepted treatmentTEN-BLOKA Atenolol 50MG TAB Accepted treatmentTENOPRESS Atenolol 100MG TAB Accepted treatmentTENOPRESS Atenolol 25MG TAB Accepted treatmentTENOPRESS Atenolol 50MG TAB Accepted treatmentTENORMIN Atenolol 100MG TAB Accepted treatmentTENORMIN Atenolol 50MG TAB Accepted treatmentCalcium channel antagonistsADALAT XL Nifedipine 30MG SRT Accepted treatmentADCO-VASCARD SR Nifedipine 20MG SRC Accepted treatmentALMADIN Amlodipine 10MG TAB Accepted treatmentALMADIN Amlodipine 5MG TAB Accepted treatmentAMLATE Amlodipine 10MG TAB Accepted treatmentAMLATE Amlodipine 5MG TAB Accepted treatmentAMLOC 10 Amlodipine 10MG TAB Accepted treatmentAMLOC 5 Amlodipine 5MG TAB Accepted treatmentAMLODAC Amlodipine 10MG TAB Accepted treatmentAMLODAC Amlodipine 5MG TAB Accepted treatmentAMLODIPINE-WINTHROP Amlodipine 10MG TAB Accepted treatment

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Restrictive Formulary

AMLODIPINE-WINTHROP Amlodipine 5MG TAB Accepted treatmentAMLOSYN 10 Amlodipine 10MG TAB Accepted treatmentAMLOSYN 5 Amlodipine 5MG TAB Accepted treatmentAMTAS Amlodipine 10MG TAB Accepted treatmentAMTAS Amlodipine 5MG TAB Accepted treatmentAURO-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentAURO-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentAUSTELL-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentAUSTELL-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentCALBLOC Amlodipine 10MG TAB Accepted treatmentCALBLOC Amlodipine 5MG TAB Accepted treatmentCIPLAVASC Amlodipine 10MG TAB Accepted treatmentCIPLAVASC Amlodipine 5MG TAB Accepted treatmentCORVADIL Amlodipine 10MG TAB Accepted treatmentCORVADIL Amlodipine 5MG TAB Accepted treatmentCPL ALLIANCE AMLODIPINE Amlodipine 10MG TAB Accepted treatmentCPL ALLIANCE AMLODIPINE Amlodipine 5MG TAB Accepted treatmentCALCICARD SR Verapamil 240MG SRT Accepted treatmentCIPALAT RETARD Nifedipine 20MG TAB Accepted treatmentDILATAM Diltiazem 60MG TAB Accepted treatmentFEDALOC SR Nifedipine 30MG TAB Accepted treatmentFELODIPINE HEXAL Felodipine 5MG SRT Accepted treatmentFELODIPINE HEXAL Felodipine 10MG SRT Accepted treatmentGULF AMLODIPINE Amlodipine 10MG TAB Accepted treatmentGULF AMLODIPINE Amlodipine 5MG TAB Accepted treatmentINDO AMLODIPINE Amlodipine 5MG TAB Accepted treatmentISOPTIN Verapamil 80MG TAB Accepted treatmentISOPTIN DRAGEES Verapamil 40MG TAB Accepted treatmentISOPTIN SR Verapamil 240MG SRT Accepted treatmentKEYSAL Amlodipine 10MG TAB Accepted treatment

16 01/11/2011

KEYSAL Amlodipine 10MG TAB Accepted treatmentKEYSAL Amlodipine 5MG TAB Accepted treatmentKLODIP Amlodipine 5MG TAB Accepted treatmentLOMANOR Amlodipine 5MG TAB Accepted treatmentLOMANOR Amlodipine 10MG TAB Accepted treatmentMACOREL SR Nifedipine 30MG SRT Accepted treatmentNIFEDALAT 20 SR Nifedipine 20MG SRT Accepted treatmentNORVASC Amlodipine 10MG TAB Accepted treatmentNORVASC Amlodipine 5MG TAB Accepted treatmentPHARMA DYNAMICS AMLODIPINE BESYLATE Amlodipine 10MG TAB Accepted treatmentPHARMA DYNAMICS AMLODIPINE BESYLATE Amlodipine 5MG TAB Accepted treatmentRAVAMIL SR Verapamil 240MG SRT Accepted treatmentROLAB-DILTIAZEM HCL Diltiazem 60MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 120MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 40MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 80MG TAB Accepted treatmentSANDOZ-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentSANDOZ-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentSPEC NIFEDIPINE SR Nifedipine 30MG SRT Accepted treatmentSTAMLO Amlodipine 10MG TAB Accepted treatmentSTAMLO Amlodipine 5MG TAB Accepted treatmentTILAZEM Diltiazem 60MG TAB Accepted treatmentTILAZEM 180 CR Diltiazem 180MG SRC Accepted treatmentTILAZEM 240 CR Diltiazem 240MG SRC Accepted treatmentVASCARD SR Nifedipine 30MG CAP Accepted treatment

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VASOMIL Verapamil 40MG TAB Accepted treatmentVASOMIL Verapamil 80MG TAB Accepted treatmentVERAHEXAL 240 SR Verapamil 240MG SRT Accepted treatmentZILDEM Diltiazem 180MG SRC Accepted treatmentZILDEM Diltiazem 240MG SRC Accepted treatmentZILDEM 60 Diltiazem 60MG TAB Accepted treatment

Aminosalicylic acid preparationsSALAZOPYRIN Sulfasalazine 500MG TAB Accepted treatmentSALAZOPYRIN E.N. Sulfasalazine 500MG ECT Accepted treatmentImmunosuppressantsAZAMUN Azathioprine 50MG TAB Accepted treatmentAZAPRESS Azathioprine 50MG TAB Accepted treatmentAZATHIOPRINE PCH Azathioprine 50MG TAB Accepted treatmentZAPRINE 50MG Azathioprine 50MG TAB Accepted treatmentMethotrexateABITREXATE-20ML Methotrexate 500MG/20ML INJ Accepted treatmentABITREXATE-2ML Methotrexate 50MG INJ Accepted treatmentEMTHEXATE Methotrexate 2.5MG TAB Accepted treatmentEMTHEXATE RTU 50-2 2ML Methotrexate 25MG/1ML INJ Accepted treatmentEMTHEXATE RTU 500-20 20ML Methotrexate 25MG/1ML INJ Accepted treatmentMETACHOR VIAL 2ML Methotrexate 25MG/1ML INJ Accepted treatmentMETHOTREXATE CSV 2ML (P&U) Methotrexate 50MG/2ML INJ Accepted treatmentMETHOTREXATE CSV 20ML (P&U) Methotrexate 500MG/20ML INJ Accepted treatmentMETHOTREXATE Methotrexate 2.5MG TAB Accepted treatmentSteroid preparations (oral)CAPSOID Prednisolone 5MG TAB Accepted treatmentLENISOLONE Prednisolone 5MG TAB Accepted treatmentPANAFCORT Prednisone 5MG TAB Accepted treatment

Crohn's Disease

17 01/11/2011

PANAFCORT Prednisone 5MG TAB Accepted treatmentPREDNISONE (BE-TABS) Prednisone 5mg TAB Accepted treatmentPREDNISONE (FAMS) Prednisone 5MG TAB Accepted treatmentTROLIC Prednisone 5MG TAB Accepted treatmentSteroid preparations (enemas)ENTOCORD ENEMAS Budesonide 2.3MG ENE Accepted treatment

Insulin INSU ACTRAPH HMGE 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE 10ML VIALS Insulin (human) 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE PENFILL 3ML Insulins, fast-acting 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE PENSET 3ML Insulins, fast-acting 100IU/1ML INJD Accepted treatmentINSU APIDRA CARTIDGES Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA L OPTISET PENSET 3ML Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML Insulin glulisine 100U/1ML INJD Accepted treatmentINSU BIOSULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN L CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN N CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN 30-70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU HUMALOG Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMALOG INJ 3.0ML CART Insulin lispro INJD Accepted treatmentINSU HUMALOG MIX 25 10ML VIAL Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMALOG MIX 25 CART 3ML Insulin lispro INJD Accepted treatment

Diabetes Mellitus Type 1

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Restrictive Formulary

INSU HUMALOG MIX 25 PEN 3ML Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMALOG MIX 50 CART Insulin lispro 3ML INJD Accepted treatmentINSU HUMALOG PEN 3ML Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMULIN 30/70 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN 30/70 3ML Insulin (human) INJD Accepted treatmentINSU HUMULIN 30/70 PEN 3ML DISP Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN N 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN N 3.0ML CART 5 Insulin (human) INJD Accepted treatmentINSU HUMULIN N PEN 3ML Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN R 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN R 3.0ML CARTRIDGE Insulin (human) INJD Accepted treatmentINSU HUMULIN R PEN 3ML DISP Insulin (human) 100IU/1ML INJD Accepted treatmentINSU INSUMAN COMB 30/70 PEN 3ML Insulin (human) 100IU/1ML INJD Accepted treatmentINSU MIRIO PEN HUMALOG MIX 25 Insulin lispro INJD Accepted treatmentINSU MIRIO PEN HUMALOG MIX 50 Insulin lispro INJD Accepted treatmentINSU MIRIO PEN HUMALOG Insulin lispro INJD Accepted treatmentINSU NOVORAPID 3ML SOLUTION FOR I Insulin aspart 100U INJD Accepted treatmentINSU NOVORAPID FLEXPEN 3ML PENS Insulin aspart INJD Accepted treatmentINSU NOVORAPID 10ML Insulin aspart 100IU/1ML INJ Accepted treatmentINSU PROTAPH HMGE 10 ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentApplicances

Accepted treatment

BiguanidesACCORD METFORMIN Metformin 500MG TAB Accepted treatmentACCORD METFORMIN Metformin 850MG TAB Accepted treatmentAPEX-METFORMIN Metformin 500MG TAB Accepted treatmentAPEX-METFORMIN FORTE Metformin 850MG TAB Accepted treatmentARROW METFORMIN Metformin 500MG TAB Accepted treatment

Diabetic strips, needles and lancets

Diabetes Mellitus Type 2

18 01/11/2011

ARROW METFORMIN Metformin 500MG TAB Accepted treatmentARROW METFORMIN Metformin 850MG TAB Accepted treatmentAUSTELL-METFORMIN 500MG Metformin 500MG TAB Accepted treatmentAUSTELL-METFORMIN 850MG Metformin 850MG TAB Accepted treatmentAURO-METFORMIN Metformin 1000MG TAB Accepted treatmentAURO-METFORMIN Metformin 500MG TAB Accepted treatmentAURO-METFORMIN Metformin 850MG TAB Accepted treatmentBIGSENS Metformin 500MG TAB Accepted treatmentBIGSENS Metformin 850MG TAB Accepted treatmentBIGSENS Metformin 1000MG TAB Accepted treatmentDIABETMIN Metformin 850MG TAB Accepted treatmentDIAFORMIN Metformin 500MG TAB Accepted treatmentDIAFORMIN FORTE Metformin 850MG TAB Accepted treatmentDIAMIN Metformin 500MG TAB Accepted treatmentDIAMIN Metformin 850MG TAB Accepted treatmentFORMINAL Metformin 500MG TAB Accepted treatmentFORMINAL Metformin 850MG TAB Accepted treatmentGLUCOPHAGE Metformin 500MG TAB Accepted treatmentGLUCOPHAGE Metformin 1000MG TAB Accepted treatmentGLUCOPHAGE FORTE Metformin 850MG TAB Accepted treatmentGLUCOPHAGE XR Metformin 500MG SRT Accepted treatmentGLUCONORM Metformin 850MG TAB Accepted treatmentGLUCONORM Metformin 500MG TAB Accepted treatmentINDO METFORMIN FC Metformin 500MG TAB Accepted treatmentINDO METFORMIN FC Metformin 850MG TAB Accepted treatment

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Restrictive Formulary

MYLAN-METFORMIN Metformin 500MG TAB Accepted treatmentMYLAN-METFORMIN Metformin 850MG TAB Accepted treatmentMETFORAL 500 Metformin 500MG TAB Accepted treatmentMETFORAL 850 Metformin 850MG TAB Accepted treatmentMETORED Metformin 1000MG TAB Accepted treatmentMETORED Metformin 500MG TAB Accepted treatmentMETORED Metformin 850MG TAB Accepted treatmentMETPHAGE Metformin 500MG TAB Accepted treatmentMETPHAGE Metformin 850MG TAB Accepted treatmentROLAB-METFORMIN HCL Metformin 500MG TAB Accepted treatmentROLAB-METFORMIN HCL Metformin 850MG TAB Accepted treatmentROLAB-METFORMIN HCL 500 FC Metformin 500MG TAB Accepted treatmentROLAB-METFORMIN HCL 850 FC Metformin 850MG TAB Accepted treatmentSulphonylureasALEMBIC GLICLAZIDE Gliclazide 80MG TAB Accepted treatmentARROW GLICLAZIDE Gliclazide 80MG TAB Accepted treatmentAUSTELL-GLICLAZIDE Gliclazide 40MG TAB Accepted treatmentAUSTELL-GLICLAZIDE Gliclazide 80MG TAB Accepted treatmentDIACARE Glibenclamide 5MG TAB Accepted treatmentDIAGLUCIDE Gliclazide 80MG TAB Accepted treatmentDIAMICRON Gliclazide 80MG TAB Accepted treatmentDAONIL Glibenclamide 5MG TAB Accepted treatmentGLUCOMED Gliclazide 80MG TAB Accepted treatmentGLYCOMIN Glibenclamide 5MG TAB Accepted treatmentGLYCRON Gliclazide 80MG TAB Accepted treatmentGLYGARD Gliclazide 80MG TAB Accepted treatmentMYLAN-GLICLAZIDE Gliclazide 80MG TAB Accepted treatmentMINIDIAB Glipizide 5MG TAB Accepted treatmentNORTON-GLIBENCLAMIDE Glibenclamide 5MG TAB Accepted treatmentROLAB-GLIBENCLAMIDE Glibenclamide 5MG TAB Accepted treatment

19 01/11/2011

ROLAB-GLIBENCLAMIDE Glibenclamide 5MG TAB Accepted treatmentROLAB-GLICLAZIDE Gliclazide 80MG TAB Accepted treatmentThiazolidinesACTOS 15MG Pioglitazone 15MG TAB Specialist motivation/SIACTOS 30MG Pioglitazone 30MG TAB Specialist motivation/SICIPLA PIOGLITAZONE 15 Pioglitazone 15MG TAB Specialist motivation/SICIPLA PIOGLITAZONE 30 Pioglitazone 30MG TAB Specialist motivation/SIInsulinINSU ACTRAPH HMGE 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE 10ML VIALS Insulin (human) 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE PENFILL 3ML Insulins, fast-acting 100IU/1ML INJD Accepted treatmentINSU ACTRAPI HMGE PENSET 3ML Insulins, fast-acting 100IU/1ML INJD Accepted treatmentINSU APIDRA CARTIDGES Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA L OPTISET PENSET 3ML Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML Insulin glulisine 100IU/1ML INJD Accepted treatmentINSU BIOSULIN R CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN L CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN N CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU BIOSULIN 30-70 CARTRIDGE 3ML Insulin (human) 100IU/1ML INJ Accepted treatmentINSU HUMALOG Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMALOG INJ 3.0ML CART Insulin lispro INJD Accepted treatmentINSU HUMALOG MIX 25 10ML VIAL Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMALOG MIX 25 CART 3ML Insulin lispro INJD Accepted treatmentINSU HUMALOG MIX 25 PEN 3ML Insulin lispro 100IU/1ML INJD Accepted treatment

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Restrictive Formulary

INSU HUMALOG MIX 50 CART Insulin lispro 3ML INJD Accepted treatmentINSU HUMALOG PEN 3ML Insulin lispro 100IU/1ML INJD Accepted treatmentINSU HUMULIN 30/70 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN 30/70 3ML Insulin (human) INJD Accepted treatmentINSU HUMULIN 30/70 PEN 3ML DISP Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN N 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN N 3.0ML CART 5 Insulin (human) INJD Accepted treatmentINSU HUMULIN N PEN 3ML Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN R 10ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentINSU HUMULIN R 3.0ML CARTRIDGE Insulin (human) INJD Accepted treatmentINSU HUMULIN R PEN 3ML DISP Insulin (human) 100IU/1ML INJD Accepted treatmentINSU INSUMAN COMB 30/70 PEN 3ML Insulin (human) 100IU/1ML INJD Accepted treatmentINSU MIRIO PEN HUMALOG MIX 25 Insulin lispro INJD Accepted treatmentINSU MIRIO PEN HUMALOG MIX 50 Insulin lispro INJD Accepted treatmentINSU MIRIO PEN HUMALOG Insulin lispro INJD Accepted treatmentINSU NOVORAPID 3ML SOLUTION FOR I Insulin aspart 100U INJD Accepted treatmentINSU NOVORAPID FLEXPEN 3ML PENS Insulin aspart INJD Accepted treatmentINSU NOVORAPID 10ML Insulin aspart 100IU/1ML INJ Accepted treatmentINSU PROTAPH HMGE 10 ML VIAL Insulin (human) 100IU/1ML INJD Accepted treatmentApplicances

Clinical review

DesmopressinDDAVP Desmopressin 0.1MG TAB Special investigationsDDAVP Desmopressin 0.2MG TAB Special investigationsDDAVP 5ML Desmopressin 0.1MG/1ML NAS Special investigationsDDAVP INTRANASAL SOLUTION Desmopressin 0.1MG/1ML NOD Special investigations

Diabetes Insipidus

Diabetic strips, needles and lancets

20 01/11/2011

AnticoagulantsWARFARIN Warfarin 5MG TAB Accepted treatmentCIPLA WARFARIN 1MG Warfarin 1MG TAB Accepted treatmentCIPLA-WARFARIN Warfarin 3MG TAB Accepted treatmentCIPLA WARFARIN 5MG Warfarin 5MG TAB Accepted treatmentAntiplatelet agentsASPIRIN (WHITE) Acetylsalicylic acid 300MG TAB Accepted treatmentASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN CARDIO Acetylsalicylic acid 100MG TAB Accepted treatmentCOMPRAL Acetylsalicylic acid 81MG TAB Accepted treatmentCOPRIN 81 Acetylsalicylic acid 81MG ECT Accepted treatmentDISPRIN CV Acetylsalicylic acid 100MG EEF Accepted treatmentDISPRIN CV Acetylsalicylic acid 300MG EEF Accepted treatmentDISPRIN REGULAR Acetylsalicylic acid 300MG EEF Accepted treatmentECOTRIN Acetylsalicylic acid 81MG ECT Accepted treatmentGENPHARM CHILDREN ASPIRIN (ASPIRIN JUNIO Acetylsalicylic acid 60MG TAB Accepted treatmentGULF ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentJUNIOR ASPIRIN (slt) Acetylsalicylic acid 97MG TAB Accepted treatmentLO-ASPIRIN (CAPRIN) Acetylsalicylic acid 125MG TAB Accepted treatmentMYOPRIN Acetylsalicylic acid 100MG EEF Accepted treatmentPCH ACETYLSALICYLIC ACID CARDIO Acetylsalicylic acid 80MG DSP Accepted treatment

Dysrhythmias

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Restrictive Formulary

Beta-blockersADCO-ATENOLOL Atenolol 100MG TAB Accepted treatmentADCO-ATENOLOL Atenolol 50MG TAB Accepted treatmentADCO BISOCOR 10MG Bisoprolol 10MG TAB Accepted treatmentADCO BISOCOR 5MG Bisoprolol 5MG TAB Accepted treatmentB-BLOCK Atenolol 100MG TAB Accepted treatmentB-BLOCK Atenolol 50MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 10MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 5MG TAB Accepted treatmentBILOCOR 10 Bisoprolol 10MG TAB Accepted treatmentBILOCOR 5 Bisoprolol 5MG TAB Accepted treatmentBISOHEXAL 10 Bisoprolol 10MG TAB Accepted treatmentBISOHEXAL 5 Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 5MG TAB Accepted treatmentCARDICOR 10MG Bisoprolol 10MG TAB Accepted treatmentCARDICOR 2.5MG Bisoprolol 2.5MG TAB Accepted treatmentCARDICOR 5MG Bisoprolol 5MG TAB Accepted treatmentCONCOR Bisoprolol 10MG TAB Accepted treatmentCONCOR Bisoprolol 5MG TAB Accepted treatmentGULF ATENOLOL Atenolol 100MG TAB Accepted treatmentGULF ATENOLOL Atenolol 50MG TAB Accepted treatmentHEXA-BLOK Atenolol 100MG TAB Accepted treatmentHEXA-BLOK Atenolol 50MG TAB Accepted treatmentINDERAL Propranolol 10MG TAB Accepted treatmentINDERAL Propranolol 40MG TAB Accepted treatmentINDOBLOK 10 Propranolol 10MG TAB Accepted treatmentINDOBLOK 40 Propranolol 40MG TAB Accepted treatment

21 01/11/2011

INDOBLOK 40 Propranolol 40MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 100MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 50MG TAB Accepted treatmentPRODOROL Propranolol 10MG TAB Accepted treatmentPRODOROL Propranolol 40MG TAB Accepted treatmentPURBLOKA Propranolol 10MG TAB Accepted treatmentPURBLOKA Propranolol 40MG APP Accepted treatmentROLAB-ATENOLOL Atenolol 100MG TAB Accepted treatmentROLAB-ATENOLOL Atenolol 50MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 10MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 40MG TAB Accepted treatmentSOTAHEXAL Sotalol 160MG TAB Specialist scriptSOTAHEXAL Sotalol 80MG TAB Specialist scriptTEN-BLOKA Atenolol 100MG TAB Accepted treatmentTEN-BLOKA Atenolol 50MG TAB Accepted treatmentTENOPRESS Atenolol 100MG TAB Accepted treatmentTENOPRESS Atenolol 25MG TAB Accepted treatmentTENOPRESS Atenolol 50MG TAB Accepted treatmentTENORMIN Atenolol 100MG TAB Accepted treatmentTENORMIN Atenolol 50MG TAB Accepted treatmentCardiac glycosidesLANOXIN Digoxin 0.25MG TAB Accepted treatmentLANOXIN PAED Digoxin 0.05MG/1ML SYR Accepted treatmentLANOXIN PAED Digoxin 0.063MG TAB Accepted treatmentPURGOXIN Digoxin 0.25MG TAB Accepted treatment

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Calcium channel antagonistsCALCICARD SR Verapamil 240MG SRT Accepted treatmentDILATAM Diltiazem 60MG TAB Accepted treatmentISOPTIN Verapamil 80MG TAB Accepted treatmentISOPTIN DRAGEES Verapamil 40MG TAB Accepted treatmentISOPTIN SR Verapamil 240MG SRT Accepted treatmentRAVAMIL SR Verapamil 240MG SRT Accepted treatmentROLAB-DILTIAZEM HCL Diltiazem 60MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 120MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 40MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 80MG TAB Accepted treatmentTILAZEM Diltiazem 60MG TAB Accepted treatmentTILAZEM 180 CR Diltiazem 180MG SRC Accepted treatmentTILAZEM 240 CR Diltiazem 240MG SRC Accepted treatmentVASOMIL Verapamil 40MG TAB Accepted treatmentVASOMIL Verapamil 80MG TAB Accepted treatmentVERAHEXAL 240 SR Verapamil 240MG SRT Accepted treatmentZILDEM Diltiazem 180MG SRC Accepted treatmentZILDEM Diltiazem 240MG SRC Accepted treatmentZILDEM 60 Diltiazem 60MG TAB Accepted treatmentAnti-arrhythmicsARYCOR Amiodarone 100MG TAB Accepted treatmentARYCOR Amiodarone 200MG TAB Accepted treatmentBIO-AMIODARONE Amiodarone 200MG TAB Accepted treatmentHEXARONE 100MG Amiodarone 100MG TAB Accepted treatmentHEXARONE 200MG Amiodarone 200MG TAB Accepted treatment

ADCO-PHENOBARB VITALET ELIXIR Phenobarbital 100ML SYR Accepted treatmentADCO-TOPIRAMATE Topiramate 100MG TAB Specialist motivation

Epilepsy

22 01/11/2011

ADCO-TOPIRAMATE Topiramate 100MG TAB Specialist motivationADCO-TOPIRAMATE Topiramate 200MG TAB Specialist motivationADCO-TOPIRAMATE Topiramate 25MG TAB Specialist motivationADCO-TOPIRAMATE Topiramate 50MG TAB Specialist motivationARROW LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentASPEN LAMOTRIGINE 100MG Lamotrigine 100MG TAB Accepted treatmentASPEN LAMOTRIGINE 200MG Lamotrigine 200MG TAB Accepted treatmentASPEN LAMOTRIGINE 25MG Lamotrigine 25MG TAB Accepted treatmentASPEN LAMOTRIGINE 50MG Lamotrigine 50MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentCONVULEX Valproic acid 150MG CAP Accepted treatmentCONVULEX Valproic acid 250MG/5ML SYR Accepted treatmentCONVULEX Valproic acid 300MG CAP Accepted treatmentCONVULEX Valproic acid 500MG CAP Accepted treatmentDEGRANOL Carbamazepine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatment

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EPANUTIN Phenytoin 100MG APP Accepted treatmentEPANUTIN FORTE Phenytoin 125MG/5ML SUS Accepted treatmentEPANUTIN INFATABS Phenytoin 50MG TAB Accepted treatmentEPILIM 200 EC Valproic acid 200MG ECT Accepted treatmentEPILIM 500 EC Valproic acid 500MG ECT Accepted treatmentEPILIM CR Valproic acid 200MG SRT Accepted treatmentEPILIM CR Valproic acid 300MG SRT Accepted treatmentEPILIM CR Valproic acid 500MG SRT Accepted treatmentEPILIM CRUSHABLE Valproic acid 100MG TAB Accepted treatmentEPILIM SUGAR FREE Valproic acid 200MG/5ML SYR Accepted treatmentEPITEC 100MG Lamotrigine 100MG TAB Accepted treatmentEPITEC 200MG Lamotrigine 200MG TAB Accepted treatmentEPITEC 25MG Lamotrigine 25MG TAB Accepted treatmentEPITEC 50MG Lamotrigine 50MG TAB Accepted treatmentEPITOZ Topiramate 100MG TAB Specialist motivationEPITOZ Topiramate 25MG TAB Specialist motivationEPITOZ Topiramate 50MG TAB Specialist motivationLAMEPTIL Lamotrigine 100MG TAB Accepted treatmentLAMEPTIL Lamotrigine 200MG TAB Accepted treatmentLAMEPTIL Lamotrigine 25MG TAB Accepted treatmentLAMEPTIL Lamotrigine 50MG TAB Accepted treatmentEPLEPTIN Gabapentin 100MG CAP Specialist motivationEPLEPTIN Gabapentin 300MG CAP Specialist motivationEPLEPTIN Gabapentin 400MG CAP Specialist motivationKEPPRA 250MG Levetiracetam 250MG TAB Accepted treatmentKEPPRA Levetiracetam 750MG TAB Accepted treatmentLAMICTIN Lamotrigine 100MG TAB Accepted treatmentLAMICTIN Lamotrigine 200MG TAB Accepted treatmentLAMICTIN Lamotrigine 25MG TAB Accepted treatmentLAMICTIN Lamotrigine 50MG TAB Accepted treatment

23 01/11/2011

LAMICTIN Lamotrigine 50MG TAB Accepted treatmentLAMICTIN P100 Lamotrigine 100MG DSP Accepted treatmentLAMICTIN P2 Lamotrigine 2MG DSP Accepted treatmentLAMICTIN P200 Lamotrigine 200MG DSP Accepted treatmentLAMICTIN P25 Lamotrigine 25MG DSP Accepted treatmentLAMICTIN P5 Lamotrigine 5MG DSP Accepted treatmentLAMICTIN P50 Lamotrigine 50MG DSP Accepted treatmentLAMIDUS Lamotrigine 100MG TAB Accepted treatmentLAMIDUS Lamotrigine 200MG TAB Accepted treatmentLAMIDUS Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 100MG TAB Accepted treatmentLAMITOR Lamotrigine 25MG TAB Accepted treatmentLAMITOR Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 200MG TAB Accepted treatmentLETHYL Phenobarbital 30MG TAB Accepted treatmentNEUREXAL Gabapentin 100MG CAP Specialist motivationNEUREXAL Gabapentin 300MG CAP Specialist motivationNEUREXAL Gabapentin 400MG CAP Specialist motivationNEURONTIN Gabapentin 100MG CAP Specialist motivationNEURONTIN Gabapentin 300MG CAP Specialist motivationNEURONTIN Gabapentin 400MG CAP Specialist motivationNORSTAN-PHENYTOIN SODIUM Phenytoin 100MG TAB Accepted treatmentPHENYTOIN SOD Phenytoin 100MG TAB Accepted treatmentPIRAMAX Topiramate 100MG TAB Specialist motivationPIRAMAX Topiramate 200MG TAB Specialist motivation

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PIRAMAX Topiramate 25MG TAB Specialist motivationRAN-GABAPENTIN Gabapentin 100MG CAP Specialist motivationRAN-GABAPENTIN Gabapentin 300MG CAP Specialist motivationRAN-GABAPENTIN Gabapentin 400MG CAP Specialist motivationREDILEV Levetiracetam 250MG TAB Accepted treatmentREDILEV Levetiracetam 500MG TAB Accepted treatmentREDILEV Levetiracetam 750MG TAB Accepted treatmentRIVOTRIL Clonazepam 0.5MG TAB Accepted treatmentRIVOTRIL Clonazepam 2.5MG/1ML DRP Accepted treatmentRIVOTRIL Clonazepam 2MG TAB Accepted treatmentROLAB-CARBAMAZEPINE Carbamazepine 200MG TAB Accepted treatmentSANDOZ CARBAMAZEPINE CR200 Carbamazepine 200MG SRT Accepted treatmentSANDOZ CARBAMAZIPINE CR400 Carbamazepine 400MG SRT Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentSANDOZ TOPIRAMATE Topiramate 100MG TAB Specialist motivationSANDOZ TOPIRAMATE Topiramate 200MG TAB Specialist motivationSANDOZ TOPIRAMATE Topiramate 25MG TAB Specialist motivationSANDOZ TOPIRAMATE Topiramate 50MG TAB Specialist motivationSEDABARB Phenobarbital 30MG TAB Accepted treatmentTEGRETOL S Carbamazepine 100MG/5ML SUS Accepted treatmentTOPALEX Topiramate 100MG TAB Specialist motivationTOPALEX Topiramate 25MG TAB Specialist motivationTOPALEX Topiramate 50MG TAB Specialist motivationTOPAMAX Topiramate 100MG TAB Specialist motivationTOPAMAX Topiramate 200MG TAB Specialist motivationTOPAMAX Topiramate 25MG TAB Specialist motivationTOPAMAX Topiramate 50MG TAB Specialist motivation

24 01/11/2011

TOPAMAX Topiramate 50MG TAB Specialist motivationTOPAMAX SC SPRINKLE Topiramate 15MG CAP Specialist motivationTOPAMAX SC SPRINKLE Topiramate 25MG CAP Specialist motivationTOPAMAX SC SPRINKLE Topiramate 50MG CAP Specialist motivationTOPLEP Topiramate 25MG TAB Specialist motivationTOPLEP Topiramate 50MG TAB Specialist motivationTOPLEP Topiramate 100MG TAB Specialist motivationTOPLEP Topiramate 200MG TAB Specialist motivationTRILEPTAL FCT Oxcarbazepine 892484 300MG Specialist motivationTRILEPTAL FCT Oxcarbazepine 892491 600MG Specialist motivationZARONTIN Ethosuximide 250MG CAP Accepted treatmentZARONTIN Ethosuximide 250MG/5ML SYR Accepted treatment

SympathomimeticsALPHAGAN Brimonidine 1.32MG/1ML OPD Clinical reviewALPHAGAN PURITE 5ML Brimonidine 1.5MG/1ML OPD Clinical reviewParasympathomimeticsISOPTO CARPINE 15ML Pilocarpine 10MG/1ML APP Accepted treatmentISOPTO CARPINE 15ML Pilocarpine 20MG/1ML OPD Accepted treatmentISOPTO CARPINE 15ML Pilocarpine 40MG/1ML OPD Accepted treatmentCarbonic anhydrase inhibitorAZOPTIC EYE DROP Brinzolamide 10MG/1ML OPD Clinical reviewTRUSOPT 5ML Dorzolamide 20MG/1ML DRP Clinical reviewBeta-blockers

Glaucoma

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GLAUCOSAN 0.25% 5ML Timolol OPD Accepted treatmentGLAUCOSAN 0.5 % 5ML Timolol 5MG/1ML OPD Accepted treatmentTIMOPTOL 5ML Timolol 5MG/1ML OPD Accepted treatmentTIMOPTOL 5ML Timolol 2.5MG/1ML OPD Accepted treatmentTIMOPTOL-XE 0.25% 2.5ML Timolol 2.5MG/1ML DRP Accepted treatmentTIMOPTOL-XE 0.50 % 2.5ML Timolol 5MG/1ML DRP Accepted treatmentNYOGEL EYE GEL 5G Timolol 0.001 OPD Accepted treatmentCombination productsCOMBIGAN 2MG/5MG 5ML Timolol, combinations OPD Accepted treatmentCOSOPT 5ML Timolol, combinations 0.005 OPD Accepted treatmentGANFORT 3ML Timolol, combinations 0.3MG/5MG OPD Accepted treatmentProstaglandin derivativesLUMIGAN 3ML Bimatoprost 0.3MG/1ML OPD Clinical reviewOCUPROST 3ML Latanoprost 50MCG/1ML OPD Clinical reviewTRAVATAN 2.5ML Travoprost OPD Clinical reviewXALATAN 2.5ML Latanoprost 50MCG/1ML OPD Clinical reviewAcetazolamideAZOMID Acetazolamide 250MG TAB Clinical reviewDIAMOX Acetazolamide 250MG TAB Clinical review

Tranexamic AcidCYKLOKAPRON Tranexamic acid 500MG TAB Accepted treatment (intermittent use)CYKLOKAPRON 1G (3X16) Tranexamic acid 1000MG EFF Accepted treatment (intermittent use)TRANEXAMIC ACID MEDWICH Tranexamic acid 500MG TAB Accepted treatment (intermittent use)TRANIC Tranexamic acid 500MG TAB Accepted treatment (intermittent use)DesmopressinDDAVP Desmopressin 0.1MG TAB Accepted treatment (intermittent use)DDAVP Desmopressin 0.2MG TAB Accepted treatment (intermittent use)DDAVP 5ML Desmopressin 0.1MG/1ML NAS Accepted treatment (intermittent use)

Haemophilia

25 01/11/2011

DDAVP 5ML Desmopressin 0.1MG/1ML NAS Accepted treatment (intermittent use)DDAVP INTRANASAL SOLUTION Desmopressin 0.1MG/1ML NOD Accepted treatment (intermittent use)AnalgesicsACTAMOL Paracetamol 120MG/5ML SYR Accepted treatmentACTAMOL RED (UN-BOXED) Paracetamol 120MG/5ML SYR Accepted treatmentADCO-PARACETAMOL Paracetamol 120MG/5ML SYR Accepted treatmentANTALGIC 500 Paracetamol 500MG TAB Accepted treatmentANTALGIC SF Paracetamol 120MG/5ML SYR Accepted treatmentAUSTELL-PARACETAMOL Paracetamol 500MG TAB Accepted treatmentBRUNOMOL Paracetamol 120MG/5ML SYR Accepted treatmentCALPOL Paracetamol 120MG/5ML SUS Accepted treatmentCLICKS PARACETAMOL Paracetamol 500MG TAB Accepted treatmentCO CODAMOL Paracetamol and codeine 500MG/8MG EFF Accepted treatmentDINO-MOL {YELLOW} (bei) Paracetamol 500MG TAB Accepted treatmentDOLOROL Paracetamol 500MG TAB Accepted treatmentDOLOROL FORTE Paracetamol and codeine TAB Accepted treatmentDYNA-DOL Paracetamol 120MG/5ML SYR Accepted treatmentDYNA-DOL Paracetamol 500MG TAB Accepted treatmentENTALGIC Paracetamol 120MG/5ML SYR Accepted treatmentENTALGIC Paracetamol 500MG TAB Accepted treatmentFABUPAIN Paracetamol 120MG/5ML SYR Accepted treatmentFABU PARACETAMOL ALC Paracetamol 120MG/5ML SYR Accepted treatmentFAMCOD Paracetamol and codeine TAB Accepted treatmentFEVAMOL P AL+SU FREE Paracetamol 120MG/5ML SYR Accepted treatmentFEVERPAIN Paracetamol 120MG/5ML SYR Accepted treatment

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GENCETAMOL Paracetamol 500MG TAB Accepted treatmentGO-PAIN P Paracetamol 120mg/5ml SYR Accepted treatmentGRAYS PARACETAMOL Paracetamol 500MG TAB Accepted treatmentGRAYS PARACETAMOL Paracetamol 120MG/5ML SYR Accepted treatmentGULF PARACETAMOL Paracetamol 500MG TAB Accepted treatmentJP PARACETAMOL Paracetamol 500MG TAB Accepted treatmentLENNON PARACETAMOL Paracetamol 500MG TAB Accepted treatmentMAXADOL P Paracetamol 120MG/5ML SYR Accepted treatmentMEDI-PARACETAMOL Paracetamol 500MG TAB Accepted treatmentMICROGESIC Paracetamol 120MG/5ML SYR Accepted treatmentNAPACOD Paracetamol and codeine TAB Accepted treatmentNAPAMOL Paracetamol 120MG/5ML SYR Accepted treatmentNAPAMOL Paracetamol 500MG TAB Accepted treatmentNITROCOD Paracetamol and codeine TAB Accepted treatmentPACIMOL Paracetamol 500MG TAB Accepted treatmentPAINAMOL Paracetamol 120MG/5ML SYR Accepted treatmentPAINAMOL (GREEN) Paracetamol 500MG TAB Accepted treatmentPAINAMOL PLUS (BETACOD) Paracetamol and codeine TAB Accepted treatmentPAINAMOL WHITE Paracetamol 500MG TAB Accepted treatmentPAINBLOK Paracetamol 120MG/5ML SYR Accepted treatmentPAINBLOK Paracetamol 500MG TAB Accepted treatmentPAINCODEIN Paracetamol and codeine 500MG/8MG TAB Accepted treatmentPAINOGESIC Paracetamol 120MG/5ML SYR Accepted treatmentPAINOGESIC Paracetamol 500MG TAB Accepted treatmentPAMOL Paracetamol 120MG/5ML SYR Accepted treatmentPANADO Paracetamol 500MG CAP Accepted treatmentPANADO Paracetamol 500MG TAB Accepted treatmentPANADO CHILDRENS Paracetamol 125MG MLT Accepted treatmentPANADO Paracetamol 500MG MLT Accepted treatmentPANADO ( ALCO/SUGAR FREE) Paracetamol 120MG/5ML SYR Accepted treatment

26 01/11/2011

PANADO ( ALCO/SUGAR FREE) Paracetamol 120MG/5ML SYR Accepted treatmentPANADO CO TABLETS Paracetamol and codeine TAB Accepted treatmentPANADO EFFERVESCENT Paracetamol 500MG EEF Accepted treatmentPANADO PAED SYRUP Paracetamol 120MG/5ML SYR Accepted treatmentPANADO PAEDIATRIC SYRUP STRAWBERRY Paracetamol 120MG/5ML SYR Accepted treatmentPARACET Paracetamol 500MG TAB Accepted treatmentPARACETAMOL Paracetamol 500MG TAB Accepted treatmentPARACETAMOL ELIX Paracetamol 120MG/5ML SYR Accepted treatmentPARACETAMOL ELIXIR {Brunel} Paracetamol 120MG/5ML SYR Accepted treatmentPARACETAMOL ELIXIR SAD (ALCOHOL FREE) Paracetamol 120MG/5ML SYR Accepted treatmentPARADCO Paracetamol 100ML SYR Accepted treatmentPARAMED Paracetamol 500MG TAB Accepted treatmentPARAPANE Paracetamol 500MG TAB Accepted treatmentPROLIEF Paracetamol 500MG TAB Accepted treatmentPYNGESIC S Paracetamol 120MG/5ML SYR Accepted treatmentPYNGESIC T Paracetamol 500MG TAB Accepted treatmentPYRADOL Paracetamol 120MG/5ML SYR Accepted treatmentPYRALEN Paracetamol 120MG/5ML SYR Accepted treatmentSPECTRAPAIN Paracetamol and codeine CAP Accepted treatmentTHERA-PAIN Paracetamol 500MG TAB Accepted treatmentVARI-COCODAMOL 8MG/500MG Paracetamol and codeine TAB Accepted treatmentVARIPAN Paracetamol 500MG TAB Accepted treatmentVON PARACETAMOL Paracetamol 500MG TAB Accepted treatmentWINPAIN (BRUNEL) Paracetamol 120MG/5ML SYR Accepted treatmentWOODWARD'S PARACETAMOL Paracetamol 120MG/5ML SYR Accepted treatment

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ZYDUS-PARACETAMOL Paracetamol 500MG TAB Accepted treatment

StatinsADCO-SIMVASTATIN Simvastatin 10MG TAB Special investigationsADCO-SIMVASTATIN Simvastatin 20MG TAB Special investigationsADCO-SIMVASTATIN Simvastatin 40MG TAB Special investigationsARROW SIMVASTATIN Simvastatin 10MG TAB Special investigationsARROW SIMVASTATIN Simvastatin 20MG TAB Special investigationsARROW SIMVASTATIN Simvastatin 40MG TAB Special investigationsASPEN SIMVASTATIN Simvastatin 10MG TAB Special investigationsASPEN SIMVASTATIN Simvastatin 20MG TAB Special investigationsASPEN SIMVASTATIN Simvastatin 40MG TAB Special investigationsAUSTELL-SIMVASTATIN 10MG Simvastatin 10MG TAB Special investigationsAUSTELL-SIMVASTATIN 20MG Simvastatin 20MG TAB Special investigationsAUSTELL-SIMVASTATIN 40MG Simvastatin 40MG TAB Special investigationsBIOVAC SIMVASTATIN Simvastatin 10MG TAB Special investigationsBIOVAC SIMVASTATIN Simvastatin 20MG TAB Special investigationsBIOVAC SIMVASTATIN Simvastatin 40MG TAB Special investigationsCHOLESTE Simvastatin 20MG TAB Special investigationsCHOLESTE Simvastatin 40MG TAB Special investigationsCIPLA-SIMVASTATIN Simvastatin 10MG TAB Special investigationsCIPLA-SIMVASTATIN Simvastatin 20MG TAB Special investigationsCIPLA-SIMVASTATIN Simvastatin 40MG TAB Special investigationsCIPLA-SIMVASTATIN Simvastatin 80MG TAB Special investigationsLIPIDEX Simvastatin 10MG TAB Special investigationsLIPIDEX Simvastatin 20MG TAB Special investigationsMYLAN-SIMVASTATIN 20MG Simvastatin 20MG TAB Special investigationsMICHOL Simvastatin 10MG TAB Special investigationsMICHOL Simvastatin 20MG TAB Special investigations

Hyperlipidaemia

27 01/11/2011

MICHOL Simvastatin 20MG TAB Special investigationsMICHOL Simvastatin 40MG TAB Special investigationsMICHOL Simvastatin 80MG TAB Special investigationsREDICOR Simvastatin 10MG TAB Special investigationsREDICOR Simvastatin 20MG TAB Special investigationsREDICOR Simvastatin 40MG TAB Special investigationsSIMASPEN 10 Simvastatin 10MG TAB Special investigationsSIMASPEN 20 Simvastatin 20MG TAB Special investigationsSIMASPEN 40 Simvastatin 40MG TAB Special investigationsSIMAYLA SIMVASTATIN Simvastatin 10MG TAB Special investigationsSIMAYLA SIMVASTATIN Simvastatin 20MG TAB Special investigationsSIMAYLA SIMVASTATIN Simvastatin 40MG TAB Special investigationsSIMCARD Simvastatin 10MG TAB Special investigationsSIMCARD Simvastatin 20MG TAB Special investigationsSIMCARD 40 Simvastatin 40MG TAB Special investigationsSIMCARD Simvastatin 80MG TAB Special investigationsSIMVACOR 10 Simvastatin 10MG TAB Special investigationsSIMVACOR 20 Simvastatin 20MG TAB Special investigationsSIMVACOR Simvastatin 40MG TAB Special investigationsSIMVOTIN 10 Simvastatin 10MG TAB Special investigationsSIMVOTIN 20 Simvastatin 20MG TAB Special investigationsSIMVOTIN 40 Simvastatin 40MG TAB Special investigationsSIMZOR Simvastatin 10MG TAB Special investigationsSIMZOR Simvastatin 20MG TAB Special investigationsSIMZOR Simvastatin 40MG TAB Special investigations

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ZOCOR Simvastatin 10MG TAB Special investigationsZOCOR Simvastatin 20MG TAB Special investigationsZOCOR Simvastatin 40MG TAB Special investigationsZYSIM Simvastatin 10MG TAB Special investigationsZYSIM Simvastatin 20MG TAB Special investigationsZYSIM Simvastatin 40MG TAB Special investigationsZYSIM Simvastatin 80MG TAB Special investigationsFibratesBEZACHOLE SR Bezafibrate 400MG TAB Special investigationsBEZALIP Bezafibrate 200MG TAB Special investigationsBEZALIP RETARD Bezafibrate 400MG TAB Special investigationsDYNA-BEZAFIBRATE SR Bezafibrate 400MG SRT Special investigationsROLAB-BEZAFIBRATE Bezafibrate 400MG TAB Special investigationsNicotinic AcidNICOTINIC ACID Nicotinic acid 100MG CAP Special investigationsNICOTINIC ACID Nicotinic acid 20MG TAB Special investigationsNICOTINIC ACID Nicotinic acid 30MG TAB Special investigations

Sympathetic Nervous System BlockersRESERPINE Reserpine .25MG TAB Accepted treatmentAlpha-aderenergic blockersADCO-DOXAZASIN Doxazosin 1MG TAB Clinical reviewADCO-DOXAZASIN Doxazosin 2MG TAB Clinical reviewADCO-DOXAZASIN Doxazosin 4MG TAB Clinical reviewCARDURA Doxazosin 1MG TAB Clinical reviewCARDUGEN WAS MERCK DOXAZOSIN Doxazosin 1MG TAB Clinical reviewCARDUGEN WAS MERCK DOXAZOSIN Doxazosin 4MG TAB Clinical reviewPRATSIOL Prazosin 1MG TAB Clinical reviewPRATSIOL Prazosin 2MG TAB Clinical review

Hypertension

28 01/11/2011

PRATSIOL Prazosin 2MG TAB Clinical reviewPRATSIOL Prazosin 5MG TAB Clinical reviewArterial VasodilatorsAPRESOLINE Hydralazine 25MG TAB Clinical reviewHYPERPHEN Hydralazine 10MG TAB Clinical reviewHYPERPHEN Hydralazine 50MG TAB Clinical reviewROLAB-HYDRALAZINE HCL Hydralazine 25MG TAB Clinical reviewROLAB-HYDRALAZINE HCL Hydralazine 50MG TAB Clinical reviewDiureticsADCO-RETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentALDACTONE Spironolactone 25MG APP Accepted treatmentAMILORETIC Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatmentAMILORETIC HS Hydrochlorothiazide and potassium-sparing agents 2.5MG/25MG TAB Accepted treatmentAQUARID Furosemide 40MG CAP Accepted treatmentBEURISES Furosemide 40MG TAB Accepted treatmentBETARETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentCATEXAN 2.5MG Indapamide 2.5MG TAB Accepted treatmentCIPLA-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentDAPAMAX Indapamide 2.5MG TAB Accepted treatmentDAPTRIL Indapamide 2.5MG TAB Accepted treatmentDINO-RETIC Furosemide 40MG TAB Accepted treatmentDIURESIX Furosemide 40MG TAB Accepted treatmentDYAZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatmentHEXARETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentHEXAZIDE Hydrochlorothiazide 25MG TAB Accepted treatment

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Restrictive Formulary

HYDRO-LESS Indapamide 2.5MG TAB Accepted treatmentINDALIX Indapamide 2.5MG TAB Accepted treatmentLASIX ORAL Furosemide 10MG/1ML SLN Clinical reviewLIXAMIDE Indapamide 2.5MG TAB Accepted treatmentMYLAN FUROSEMIDE Furosemide 40MG TAB Accepted treatmentMYLAN-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentMODURETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentMODURETIC HS Hydrochlorothiazide and potassium-sparing agents 2.5MG/25MG TAB Accepted treatmentNATRILIX Indapamide 2.5MG TAB Accepted treatmentRENEZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatmentRIDAQ Hydrochlorothiazide 25MG TAB Accepted treatmentRIDAQ Hydrochlorothiazide 12.5MG TAB Accepted treatmentROLAB-AMILORIDE HCL/HYDROCHLOROTHIAZIDE Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatmentROLAB-FUROSEMIDE Furosemide 40MG TAB Accepted treatmentROLAB-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatmentROLAB-SPIRONOLACTONE Spironolactone 25MG TAB Accepted treatmentROLAB-TRIAMTERENE/HYDROCHLOROTHIAZIDE Hydrochlorothiazide and potassium-sparing agents 50MG/25MG TAB Accepted treatmentSPEC-CO-AMILORIDE Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatmentSPIRACTIN Spironolactone 25MG TAB Accepted treatmentUREMIDE Furosemide 40MG TAB Accepted treatmentURIREX-K Hydrochlorothiazide and potassium TAB Accepted treatmentBeta-blockersADCO-ATENOLOL Atenolol 100MG TAB Accepted treatmentADCO-ATENOLOL Atenolol 50MG TAB Accepted treatmentADCO BISOCOR 10MG Bisoprolol 10MG TAB Accepted treatmentADCO BISOCOR 5MG Bisoprolol 5MG TAB Accepted treatmentB-BLOCK Atenolol 100MG TAB Accepted treatmentB-BLOCK Atenolol 50MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 10MG TAB Accepted treatmentBETACOR (NAMIBIA ONLY) Bisoprolol 5MG TAB Accepted treatment

29 01/11/2011

BETACOR (NAMIBIA ONLY) Bisoprolol 5MG TAB Accepted treatmentBILOCOR 10 Bisoprolol 10MG TAB Accepted treatmentBILOCOR 5 Bisoprolol 5MG TAB Accepted treatmentBISOHEXAL 10 Bisoprolol 10MG TAB Accepted treatmentBISOHEXAL 5 Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL HEXAL Bisoprolol 5MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 10MG TAB Accepted treatmentBISOPROLOL UNICORN Bisoprolol 5MG TAB Accepted treatmentCARDICOR 10MG Bisoprolol 10MG TAB Accepted treatmentCARDICOR 2.5MG Bisoprolol 2.5MG TAB Accepted treatmentCARDICOR 5MG Bisoprolol 5MG TAB Accepted treatmentCONCOR Bisoprolol 10MG TAB Accepted treatmentCONCOR Bisoprolol 5MG TAB Accepted treatmentGULF ATENOLOL Atenolol 100MG TAB Accepted treatmentGULF ATENOLOL Atenolol 50MG TAB Accepted treatmentHEXA-BLOK Atenolol 100MG TAB Accepted treatmentHEXA-BLOK Atenolol 50MG TAB Accepted treatmentINDERAL Propranolol 10MG TAB Accepted treatmentINDERAL Propranolol 40MG TAB Accepted treatmentINDOBLOK 10 Propranolol 10MG TAB Accepted treatmentINDOBLOK 40 Propranolol 40MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 100MG TAB Accepted treatmentNORTON-ATENOLOL Atenolol 50MG TAB Accepted treatmentPRODOROL Propranolol 10MG TAB Accepted treatment

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PRODOROL Propranolol 40MG TAB Accepted treatmentPURBLOKA Propranolol 10MG TAB Accepted treatmentPURBLOKA Propranolol 40MG APP Accepted treatmentROLAB-ATENOLOL Atenolol 100MG TAB Accepted treatmentROLAB-ATENOLOL Atenolol 50MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 10MG TAB Accepted treatmentROLAB-PROPRANOLOL HCL Propranolol 40MG TAB Accepted treatmentTEN-BLOKA Atenolol 100MG TAB Accepted treatmentTEN-BLOKA Atenolol 50MG TAB Accepted treatmentTENOPRESS Atenolol 100MG TAB Accepted treatmentTENOPRESS Atenolol 25MG TAB Accepted treatmentTENOPRESS Atenolol 50MG TAB Accepted treatmentTENORMIN Atenolol 100MG TAB Accepted treatmentTENORMIN Atenolol 50MG TAB Accepted treatmentBeta-blocker and diuretic combinationsADCO-LOTEN Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentROLAB-ATENOLOL/CHLORTHALIDONE 100/25 Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentROLAB-ATENOLOL/CHLORTHALIDONE 50/12.5 Atenolol and other diuretics 50MG/12.5MG TAB Accepted treatmentTENCHLOR Atenolol and other diuretics 100MG/25MG TAB Accepted treatmentTENCHLOR HS Atenolol and other diuretics 50MG/12.5MG TAB Accepted treatmentCalcium channel antagonistsADALAT XL Nifedipine 30MG SRT Accepted treatmentADCO-VASCARD SR Nifedipine 20MG SRC Accepted treatmentALMADIN Amlodipine 10MG TAB Accepted treatmentALMADIN Amlodipine 5MG TAB Accepted treatmentAMLATE Amlodipine 10MG TAB Accepted treatmentAMLATE Amlodipine 5MG TAB Accepted treatmentAMLOC 10 Amlodipine 10MG TAB Accepted treatmentAMLOC 5 Amlodipine 5MG TAB Accepted treatmentAMLODAC Amlodipine 10MG TAB Accepted treatment

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AMLODAC Amlodipine 10MG TAB Accepted treatmentAMLODAC Amlodipine 5MG TAB Accepted treatmentAMLODIPINE-WINTHROP Amlodipine 10MG TAB Accepted treatmentAMLODIPINE-WINTHROP Amlodipine 5MG TAB Accepted treatmentAMLOSYN 10 Amlodipine 10MG TAB Accepted treatmentAMLOSYN 5 Amlodipine 5MG TAB Accepted treatmentAMTAS Amlodipine 10MG TAB Accepted treatmentAMTAS Amlodipine 5MG TAB Accepted treatmentAURO-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentAURO-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentAUSTELL-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentAUSTELL-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentCALBLOC Amlodipine 10MG TAB Accepted treatmentCALBLOC Amlodipine 5MG TAB Accepted treatmentCALCICARD SR Verapamil 240MG SRT Accepted treatmentCIPALAT RETARD Nifedipine 20MG TAB Accepted treatmentCIPLAVASC Amlodipine 10MG TAB Accepted treatmentCIPLAVASC Amlodipine 5MG TAB Accepted treatmentCORVADIL Amlodipine 10MG TAB Accepted treatmentCORVADIL Amlodipine 5MG TAB Accepted treatmentCPL ALLIANCE AMLODIPINE Amlodipine 10MG TAB Accepted treatmentCPL ALLIANCE AMLODIPINE Amlodipine 5MG TAB Accepted treatmentDILATAM Diltiazem 60MG TAB Accepted treatmentFEDALOC SR Nifedipine 30MG TAB Accepted treatmentFELODIPINE HEXAL Felodipine 5MG SRT Accepted treatment

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FELODIPINE HEXAL Felodipine 10MG SRT Accepted treatmentGULF AMLODIPINE Amlodipine 10MG TAB Accepted treatmentGULF AMLODIPINE Amlodipine 5MG TAB Accepted treatmentINDO AMLODIPINE Amlodipine 5MG TAB Accepted treatmentISOPTIN Verapamil 80MG TAB Accepted treatmentISOPTIN DRAGEES Verapamil 40MG TAB Accepted treatmentISOPTIN SR Verapamil 240MG SRT Accepted treatmentKEYSAL Amlodipine 10MG TAB Accepted treatmentKEYSAL Amlodipine 5MG TAB Accepted treatmentKLODIP Amlodipine 5MG TAB Accepted treatmentLOMANOR Amlodipine 5MG TAB Accepted treatmentLOMANOR Amlodipine 10MG TAB Accepted treatmentMACOREL SR Nifedipine 30MG SRT Accepted treatmentNIFEDALAT 20 SR Nifedipine 20MG SRT Accepted treatmentNORVASC Amlodipine 10MG TAB Accepted treatmentNORVASC Amlodipine 5MG TAB Accepted treatmentPHARMA DYNAMICS AMLODIPINE BESYLATE Amlodipine 10MG TAB Accepted treatmentPHARMA DYNAMICS AMLODIPINE BESYLATE Amlodipine 5MG TAB Accepted treatmentRAVAMIL SR Verapamil 240MG SRT Accepted treatmentROLAB-DILTIAZEM HCL Diltiazem 60MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 120MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 40MG TAB Accepted treatmentROLAB-VERAPAMIL HCL Verapamil 80MG TAB Accepted treatmentSANDOZ-AMLODIPINE Amlodipine 10MG TAB Accepted treatmentSANDOZ-AMLODIPINE Amlodipine 5MG TAB Accepted treatmentSPEC NIFEDIPINE SR Nifedipine 30MG SRT Accepted treatmentSTAMLO Amlodipine 10MG TAB Accepted treatmentSTAMLO Amlodipine 5MG TAB Accepted treatmentVASCARD SR Nifedipine 30MG CAP Accepted treatmentVASOMIL Verapamil 40MG TAB Accepted treatment

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VASOMIL Verapamil 40MG TAB Accepted treatmentVASOMIL Verapamil 80MG TAB Accepted treatmentVERAHEXAL 240 SR Verapamil 240MG SRT Accepted treatmentACE inhibitorsACCUMAX Quinapril 10MG TAB Accepted treatmentACCUMAX Quinapril 20MG TAB Accepted treatmentACCUPRIL Quinapril 10MG TAB Accepted treatmentACCUPRIL Quinapril 20MG TAB Accepted treatmentACETEN Captopril 12.5MG TAB Accepted treatmentACETEN Captopril 25MG TAB Accepted treatmentACETEN Captopril 50MG TAB Accepted treatmentADCO-CAPTOPRIL Captopril 25MG TAB Accepted treatmentADCO-CAPTOPRIL Captopril 50MG TAB Accepted treatmentADCO-ENALAPRIL 10MG Enalapril 10MG TAB Accepted treatmentADCO-ENALAPRIL 20MG Enalapril 20MG TAB Accepted treatmentADCO-ENALAPRIL 5MG Enalapril 5MG TAB Accepted treatmentALAPREN 10 Enalapril 10MG TAB Accepted treatmentALAPREN 20 Enalapril 20MG TAB Accepted treatmentALAPREN 5 Enalapril 5MG TAB Accepted treatmentAPEX-LISINOPRIL Lisinopril 20MG TAB Accepted treatmentAUSTELL LISINOPRIL 2.5MG Lisinopril 2.5MG TAB Accepted treatmentAUSTELL-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentAUSTELL LISINOPRIL 20MG Lisinopril 20MG TAB Accepted treatmentAURO-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentAURO-LISINOPRIL Lisinopril 20MG TAB Accepted treatment

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AURO-LISINOPRIL Lisinopril 5MG TAB Accepted treatmentCAPACE Captopril 25MG TAB Accepted treatmentCAPOTEN Captopril 25MG APP Accepted treatmentCAPOTEN Captopril 50MG APP Accepted treatmentCAPOTEN HS Captopril 12.5MG APP Accepted treatmentCAPTOHEXAL Captopril 12.5MG TAB Accepted treatmentCAPTOHEXAL Captopril 25MG TAB Accepted treatmentCAPTOHEXAL Captopril 50MG TAB Accepted treatmentCAPTOMAX Captopril 25MG TAB Accepted treatmentCAPTOMAX Captopril 50MG TAB Accepted treatmentCIPLATEC 10 Enalapril 10MG TAB Accepted treatmentCIPLATEC 20MG Enalapril 20MG TAB Accepted treatmentCIPLATEC 5 Enalapril 5MG TAB Accepted treatmentENAP 10MG Enalapril 10MG TAB Accepted treatmentENAP 20MG Enalapril 20MG TAB Accepted treatmentENAP 5MG Enalapril 5MG TAB Accepted treatmentENVAS Enalapril 10MG TAB Accepted treatmentENVAS Enalapril 5MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 10MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 20MG TAB Accepted treatmentHEXAL-LISINOPRIL Lisinopril 5MG TAB Accepted treatmentHR-ENALAPRIL 10 Enalapril 10MG TAB Accepted treatmentHR-ENALAPRIL 20 Enalapril 20MG TAB Accepted treatmentHR-ENALAPRIL 5 Enalapril 5MG TAB Accepted treatmentHYPACE Enalapril 5MG TAB Accepted treatmentMYLAN CAPTOPRIL Captopril 25MG TAB Accepted treatmentMYLAN-CAPTOPRIL Captopril 50MG TAB Accepted treatmentPHARMAPRESS Enalapril 5MG TAB Accepted treatmentPHARMAPRESS Enalapril 10MG TAB Accepted treatmentPHARMAPRESS Enalapril 20MG TAB Accepted treatment

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PHARMAPRESS Enalapril 20MG TAB Accepted treatmentPRILOSIN 10MG Lisinopril 10MG TAB Accepted treatmentPRILOSIN 5MG Lisinopril 5MG TAB Accepted treatmentPRINIVIL Lisinopril 10MG TAB Accepted treatmentPRINIVIL Lisinopril 20MG TAB Accepted treatmentPRINIVIL Lisinopril 5MG TAB Accepted treatmentQUINACE Quinapril 10MG TAB Accepted treatmentQUINACE Quinapril 20MG TAB Accepted treatmentQUINAGEN Quinapril 10MG TAB Accepted treatmentQUINAGEN Quinapril 20MG TAB Accepted treatmentQUINASPEN 10MG Quinapril 10MG TAB Accepted treatmentQUINASPEN 20MG Quinapril 20MG TAB Accepted treatmentRENITEC Enalapril 10MG TAB Accepted treatmentRENITEC Enalapril 20MG TAB Accepted treatmentRENITEC Enalapril 5MG TAB Accepted treatmentRENOTENS 5 Lisinopril 5MG TAB Accepted treatmentRENOTENS 10 Lisinopril 10MG TAB Accepted treatmentRENOTENS 20 Lisinopril 20MG TAB Accepted treatmentROLAB-CAPTOPRIL Captopril 25MG TAB Accepted treatmentROLAB-CAPTOPRIL Captopril 50MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 10MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 20MG TAB Accepted treatmentSIMAYLA LISINOPRIL Lisinopril 5MG TAB Accepted treatmentSINOPREN 10 Lisinopril 10MG TAB Accepted treatmentSINOPREN 20 Lisinopril 20MG TAB Accepted treatment

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SINOPREN 5 Lisinopril 5MG TAB Accepted treatmentZAPTO Captopril 25MG TAB Accepted treatmentZAPTO Captopril 50MG TAB Accepted treatmentZEMAX 10 Lisinopril 10MG TAB Accepted treatmentZEMAX 20 Lisinopril 20MG TAB Accepted treatmentZEMAX 5 Lisinopril 5MG TAB Accepted treatmentZEPROSIL 10MG Lisinopril 10MG TAB Accepted treatmentZEPROSIL 20MG Lisinopril 20MG TAB Accepted treatmentZEPROSIL 5MG Lisinopril 5MG TAB Accepted treatmentZESTRIL Lisinopril 10MG TAB Accepted treatmentZESTRIL Lisinopril 20MG TAB Accepted treatmentZESTRIL Lisinopril 5MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 10MG Lisinopril 10MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 20MG Lisinopril 20MG TAB Accepted treatmentZETOMAX (ZESTOMAX) 5MG Lisinopril 5MG TAB Accepted treatmentACE inhibitor and diuretic combinationsAURO-LISINOPRIL CO Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentAURO-LISINOPRIL CO Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentCAPOZIDE Captopril and diuretics 50MG/25MG TAB Accepted treatmentCAPTORETIC Captopril and diuretics 50MG/25MG TAB Accepted treatmentCO-RENITEC Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentDIACE CO Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentENAP-CO Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentHEXAL LISINOPRIL CO 10 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentHEXAL LISINOPRIL CO 20 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISINOZIDE Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISINOZIDE Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISORETIC 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISORETIC 20/12.5 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentLISOZIDE 10MG/12.5MG Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatment

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LISOZIDE 10MG/12.5MG Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentLISOZIDE 20MG/12.5MG Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentPHARMAPRESS CO Enalapril and diuretics 20MG/12.5MG TAB Accepted treatmentZAPTO-CO Captopril and diuretics 50MG/25MG TAB Accepted treatmentZETOMAX CO 10/12.5 Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentZETOMAX CO 20/12.5 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentZETOMAX CO 20/25 Lisinopril and diuretics 20MG/25MG TAB Accepted treatmentZESTORETIC Lisinopril and diuretics 10MG/12.5MG TAB Accepted treatmentZESTORETIC Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentZESTOZIDE 20 Lisinopril and diuretics 20MG/12.5MG TAB Accepted treatmentAngiotensin Receptor BlockersCOZAAR Losartan 50MG TAB Accepted treatmentCOZAAR Losartan 100MG TAB Accepted treatmentCIPLA-LOSARTAN Losartan 100MG TAB Accepted treatmentCIPLA-LOSARTAN Losartan 50MG TAB Accepted treatmentLOS-ARB Losartan 50MG TAB Accepted treatmentLEPITRIN Losartan 50MG TAB Accepted treatmentLOSARTAN-WINTHROP Losartan 50MG TAB Accepted treatment

RENICARD Losartan 50MG TAB Accepted treatment

SPEC-LOSARTAN Losartan 100MG TAB Accepted treatment

SPEC-LOSARTAN Losartan 50MG TAB Accepted treatmentZARTAN Losartan 50MG TAB Accepted treatmentZARTAN Losartan 100MG TAB Accepted treatment

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Angiotensin Receptor Blockers and diuretic combinationsCOZAAR COMP Losartan and diuretics 50MG/12.5 MG TAB Accepted treatmentFORTZAAR Losartan and diuretics 100MG/25MG TAB Accepted treatment

LOHYPE FORTE PLUS 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatment

LOHYPE PLUS 50MG/12.5MG Losartan and diuretics 50MG/12.5 MG TAB Accepted treatment

LOSAAR PLUS 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatment

LOSAAR PLUS 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

LOZAAN CO 100/25 Losartan and diuretics 100MG/25MG TAB Accepted treatment

LOZAAN CO 50/12.5 Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

NETRASOL CO 50/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

NETRASOL CO 100/25MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

SARTOC 50/12.5 Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

ZARTAN CO 100MG/25MG Losartan and diuretics 100MG/25MG TAB Accepted treatment

ZARTAN CO 50MG/12.5MG Losartan and diuretics 50MG/12.5MG TAB Accepted treatment

ELTROXIN Levothyroxine sodium 0.05MG TAB Accepted treatmentELTROXIN Levothyroxine sodium 0.1MG TAB Accepted treatmentEUTHYROX Levothyroxine sodium 100MCG TAB Accepted treatmentEUTHYROX Levothyroxine sodium 25MCG TAB Accepted treatmentEUTHYROX Levothyroxine sodium 50MCG TAB Accepted treatment

AnticholinergicsDITROPAN Oxybutynin 5MG TAB Accepted treatmentLENDITRO Oxybutynin 5MG TAB Accepted treatmentMYLAN OXYBUTYNIN CHLORIDE 5 Oxybutynin 5MG TAB Accepted treatmentOXYSPAS Oxybutynin 5MG TAB Accepted treatment

Multiple sclerosis

Hypothyroidism

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OXYSPAS Oxybutynin 5MG TAB Accepted treatmentROLAB-OXYBUTYNIN HCI 5 Oxybutynin 5MG TAB Accepted treatmentURIHEXAL 5MG Oxybutynin 5MG TAB Accepted treatmentImmunosuppressantsABITREXATE-20ML Methotrexate 500MG/20ML INJ Accepted treatmentABITREXATE-2ML Methotrexate 50MG INJ Accepted treatmentAZAMUN Azathioprine 50MG TAB Accepted treatmentAZAPRESS Azathioprine 50MG TAB Accepted treatmentAZATHIOPRINE PCH Azathioprine 50MG TAB Accepted treatmentEMTHEXATE Methotrexate 2.5MG TAB Accepted treatmentEMTHEXATE RTU 50-2 2ML Methotrexate 25MG/1ML INJ Accepted treatmentEMTHEXATE RTU 500-20 20ML Methotrexate 25MG/1ML INJ Accepted treatmentMETACHOR VIAL 2ML Methotrexate 25MG/1ML INJ Accepted treatmentENDOXAN Cyclophosphamide 50MG TAB Accepted treatmentIMURAN Azathioprine 50MG TAB Accepted treatmentMETHOTREXATE CSV 2ML (P&U) Methotrexate 50MG/2ML INJ Accepted treatmentMETHOTREXATE CSV 20ML (P&U) Methotrexate 500MG/20ML INJ Accepted treatmentMETHOTREXATE Methotrexate 2.5MG TAB Accepted treatmentZAPRINE 50MG Azathioprine 50MG TAB Accepted treatmentMuscle relaxantsLIORESAL Baclofen 10MG TAB Accepted treatmentBIO-BACLOFEN Baclofen 10MG TAB Accepted treatmentTEVA BACLOFEN Baclofen 10MG TAB Accepted treatmentTricyclic AntidepressantsETHIPRAMINE Imipramine 10MG TAB Accepted treatment

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ETHIPRAMINE Imipramine 25MG TAB Accepted treatmentNORILINE Amitriptyline 10MG TAB Accepted treatmentNORILINE Amitriptyline 25MG TAB Accepted treatmentPROTHIADEN Dothiepin 25MG CAP Accepted treatmentPROTHIADEN Dothiepin 75MG TAB Accepted treatmentROLAB-AMITRIPTYLINE HCL Amitriptyline 25MG TAB Accepted treatmentROLAB-DOTHIEPIN Dothiepin 25MG CAP Accepted treatmentROLAB-DOTHIEPIN Dothiepin 75MG TAB Accepted treatmentTHADEN Dothiepin 25MG CAP Accepted treatmentTHADEN Dothiepin 75MG TAB Accepted treatmentTOFRANIL Imipramine 10MG TAB Accepted treatmentTOFRANIL Imipramine 25MG TAB Accepted treatmentTREPILINE Amitriptyline 10MG TAB Accepted treatmentTREPILINE Amitriptyline 25MG TAB Accepted treatmentTRYPTANOL Amitriptyline 25MG TAB Accepted treatmentCarbamazepineDEGRANOL Carbamazepine 200MG TAB Accepted treatmentROLAB-CARBAMAZEPINE Carbamazepine 200MG TAB Accepted treatmentAnalgesicsANTALGIC 500 Paracetamol 500MG TAB Accepted treatmentAUSTELL-PARACETAMOL Paracetamol 500MG TAB Accepted treatmentCLICKS PARACETAMOL Paracetamol 500MG TAB Accepted treatmentCO CODAMOL Paracetamol combinations payable by PBM 500MG/8MG EFF Accepted treatmentDINO-MOL {YELLOW} (bei) Paracetamol 500MG TAB Accepted treatmentDOLOROL Paracetamol 500MG TAB Accepted treatmentDOLOROL FORTE Paracetamol combinations payable by PBM TAB Accepted treatmentDYNA-DOL Paracetamol 500MG TAB Accepted treatmentENTALGIC Paracetamol 500MG TAB Accepted treatmentFAMCOD Paracetamol combinations payable by PBM TAB Accepted treatmentGENCETAMOL Paracetamol 500MG TAB Accepted treatment

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GENCETAMOL Paracetamol 500MG TAB Accepted treatmentGRAYS PARACETAMOL Paracetamol 500MG TAB Accepted treatmentGULF PARACETAMOL Paracetamol 500MG TAB Accepted treatmentJP PARACETAMOL Paracetamol 500MG TAB Accepted treatmentLENNON PARACETAMOL Paracetamol 500MG TAB Accepted treatmentMEDI-PARACETAMOL Paracetamol 500MG TAB Accepted treatmentNAPACOD Paracetamol combinations payable by PBM TAB Accepted treatmentNAPAMOL Paracetamol 500MG TAB Accepted treatmentNITROCOD Paracetamol combinations payable by PBM TAB Accepted treatmentPACIMOL Paracetamol 500MG TAB Accepted treatmentPAINAMOL (GREEN) Paracetamol 500MG TAB Accepted treatmentPAINAMOL PLUS (BETACOD) Paracetamol combinations payable by PBM TAB Accepted treatmentPAINAMOL WHITE Paracetamol 500MG TAB Accepted treatmentPAINBLOK Paracetamol 500MG TAB Accepted treatmentPAINCOD Acetylsalicylic acid comb. excl. psycholeptics TAB Accepted treatmentPAINCODEIN Paracetamol combinations payable by PBM 500MG/8MG TAB Accepted treatmentPAINOGESIC Paracetamol 500MG TAB Accepted treatmentPANADO Paracetamol 500MG CAP Accepted treatmentPANADO Paracetamol 500MG TAB Accepted treatmentPANADO CHILDRENS Paracetamol 125MG MLT Accepted treatmentPANADO Paracetamol 500MG MLT Accepted treatmentPANADO CO TABLETS Paracetamol combinations payable by PBM TAB Accepted treatmentPANADO EFFERVESCENT Paracetamol 500MG EEF Accepted treatmentPARACET Paracetamol 500MG TAB Accepted treatmentPARACETAMOL Paracetamol 500MG TAB Accepted treatment

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PARACETAMOL Paracetamol 500MG TAB Accepted treatmentPARAMED Paracetamol 500MG TAB Accepted treatmentPARAPANE Paracetamol 500MG TAB Accepted treatmentPROLIEF Paracetamol 500MG TAB Accepted treatmentPYNGESIC T Paracetamol 500MG TAB Accepted treatmentSPECTRAPAIN Paracetamol combinations payable by PBM CAP Accepted treatmentTHERA-PAIN Paracetamol 500MG TAB Accepted treatmentVARI-COCODAMOL 8MG/500MG Paracetamol combinations payable by PBM TAB Accepted treatmentVARIPAN Paracetamol 500MG TAB Accepted treatmentVON PARACETAMOL Paracetamol 500MG TAB Accepted treatmentZYDUS-PARACETAMOL Paracetamol 500MG TAB Accepted treatment

Non-steroidal anti-inflammatoriesADCO-DICLOFENAC Diclofenac 25MG TAB Accepted treatmentADCO-DICLOFENAC Diclofenac 50MG TAB Accepted treatmentADCO-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentADCO-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentADCO-NAPROXEN Naproxen 250MG TAB Accepted treatmentADCO-PIROXICAM Piroxicam 10MG CAP Accepted treatmentADCO-PIROXICAM Piroxicam 20MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 200MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 400MG CAP Accepted treatmentAFLAMIN Indometacin 25MG CAP Accepted treatmentA-LENNON DICLOFENAC Diclofenac 25MG TAB Accepted treatmentA-LENNON DICLOFENAC Diclofenac 50MG TAB Accepted treatmentAMDOCIN Indometacin 25MG CAP Accepted treatmentARTHREXIN Indometacin 25MG APP Accepted treatmentBE-TABS NAPROXEN Naproxen 250MG TAB Accepted treatmentBETACIN Indometacin 25MG CAP Accepted treatmentBETAGESIC Ibuprofen 200MG TAB Accepted treatment

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BETAGESIC Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN 400 FC Ibuprofen 400MG TAB Accepted treatmentBIO-NAPROXEN Naproxen 250MG TAB Accepted treatmentBREN Ibuprofen 400MG TAB Accepted treatmentBREXECAM Piroxicam 20MG TAB Accepted treatmentBRUFEN Ibuprofen 200MG TAB Accepted treatmentBRUFEN Ibuprofen 400MG TAB Accepted treatmentCPL ALLIANCE PIROXICAM Piroxicam 20MG CAP Accepted treatmentDICLOHEXAL Diclofenac 50MG TAB Accepted treatmentDICLOHEXAL 25T Diclofenac 25MG TAB Accepted treatmentDIFEN SR Diclofenac 100MG TAB Accepted treatmentDYNOFEN Ibuprofen 200mg TAB Accepted treatmentFAMETHACIN Indometacin 25MG CAP Accepted treatmentFLAMARET Indometacin 25MG CAP Accepted treatmentFLAMECID Indometacin 25MG CAP Accepted treatmentFORTFEN SR Diclofenac 100MG SRC Accepted treatmentGULF INDOMETHACIN Indometacin 25MG CAP Accepted treatmentIBOFLAM Ibuprofen 200MG TAB Accepted treatmentIBU Ibuprofen 200MG TAB Accepted treatmentIBUGESIC Ibuprofen 100MG/5ML SUS Accepted treatmentIBUMAX Ibuprofen 200MG TAB Accepted treatmentIBUMAX Ibuprofen 400MG TAB Accepted treatmentIBUMED Ibuprofen 200MG CAP Accepted treatmentIBUNATE Ibuprofen 200MG TAB Accepted treatment

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INFLA-BAN SR Diclofenac 100MG TAB Accepted treatmentINZA Ibuprofen 200MG TAB Accepted treatmentINZA Ibuprofen 400MG TAB Accepted treatmentKETOFLAM SR Ketoprofen 200MG SRC Accepted treatmentLENAFEN Ibuprofen 200MG TAB Accepted treatmentMEDIFLEX Indometacin 25MG CAP Accepted treatmentMYLAN DICLOFENAC (ARCANAFENAC) Diclofenac 25MG TAB Accepted treatmentMYLAN DICLOFENAC SOD (ARCANAFENAC) Diclofenac 50MG TAB Accepted treatmentMYLAN NAPROXEN (ARCANA-NAPROXEN) Naproxen 250MG TAB Accepted treatmentMETHOCAPS Indometacin 25MG CAP Accepted treatmentMYPROFLAM SRC Ketoprofen 200MG SRC Accepted treatmentNAPFLAM Naproxen 250MG TAB Accepted treatmentNAPFLAM Naproxen 500MG TAB Accepted treatmentNAPROSCRIPT Naproxen 250MG TAB Accepted treatmentNAPROSCRIPT Naproxen 500MG TAB Accepted treatmentNAPROSYN Naproxen 250MG TAB Accepted treatmentNAPROSYN 500 Naproxen 500MG TAB Accepted treatmentNISAID 25 Indometacin 25MG CAP Accepted treatmentNORFLAM-T Ibuprofen 200MG TAB Accepted treatmentNUROFEN Ibuprofen 200MG TAB Accepted treatmentNUROFEN (CAPLETS) Ibuprofen 200MG CAP Accepted treatmentNUROFEN EXTRA STRENGTH Ibuprofen 400MG TAB Accepted treatmentORUVAIL 200 Ketoprofen 200MG SRC Accepted treatmentPAINIL Ibuprofen 200MG TAB Accepted treatmentPANAMOR AT-50 Diclofenac 50MG TAB Accepted treatmentPANAMOR SR Diclofenac 100MG TAB Accepted treatmentPANAMOR SR Diclofenac 75MG TAB Accepted treatmentPANAMOR-25 Diclofenac 25MG TAB Accepted treatmentPIXICAM Piroxicam 20MG DSP Accepted treatmentPYROCAPS Piroxicam 20MG CAP Accepted treatment

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PYROCAPS Piroxicam 20MG CAP Accepted treatmentRANFEN Ibuprofen 200MG TAB Accepted treatmentRANFEN 400 Ibuprofen 400MG TAB Accepted treatmentRHEUGESIC Piroxicam 20MG DSP Accepted treatmentROLAB-ANTIFLAM Ibuprofen 200MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 25MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 50MG TAB Accepted treatmentROLAB-DICLOFENAC SR Diclofenac 100MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 200MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentROLAB-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentROLAB-NAPROXEN Naproxen 250MG TAB Accepted treatmentROLAB-NAPROXEN Naproxen 500MG TAB Accepted treatmentROLAB-PIROXICAM Piroxicam 10MG CAP Accepted treatmentROLAB-PIROXICAM Piroxicam 20MG CAP Accepted treatmentROLAB-PIROXICAM DISP Piroxicam 20MG DSP Accepted treatmentROXIFEN Piroxicam 20MG CAP Accepted treatmentVELTEX CR Diclofenac 100MG SRC Accepted treatmentVELTEX CR Diclofenac 75MG SRC Accepted treatmentVOLTAREN Diclofenac 25MG TAB Accepted treatmentVOLTAREN 75 Diclofenac 75MG TAB Accepted treatmentVOLTAREN GT Diclofenac 50MG TAB Accepted treatmentVOLTAREN SR Diclofenac 100MG TAB Accepted treatmentXYCAM Piroxicam 20MG CAP Accepted treatmentXYCAM DISPERS Piroxicam 20MG DSP Accepted treatment

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Levodopa combinationsCARBILEV Levodopa and decarboxylase inhibitor 25MG/100MG TAB Accepted treatmentCARBILEV Levodopa and decarboxylase inhibitor 25MG/250MG TAB Accepted treatmentMADOPAR Levodopa and decarboxylase inhibitor 50MG/200MG TAB Accepted treatmentMADOPAR HBS Levodopa and decarboxylase inhibitor 25MG/100MG CAP Accepted treatmentSINEMET Levodopa and decarboxylase inhibitor 25MG/100MG TAB Accepted treatmentSINEMET Levodopa and decarboxylase inhibitor 25MG/250MG TAB Accepted treatmentSINEMET CR Levodopa and decarboxylase inhibitor 50MG/200MG SRT Accepted treatmentTEVA CARBI-LEVO 25/100 Levodopa and decarboxylase inhibitor 25MG/100MG TAB Accepted treatmentTEVA CARBI-LEVO 25/250 Levodopa and decarboxylase inhibitor 25MG/250MG TAB Accepted treatmentDopamine agonists and otherAKINETON Biperiden 2MG TAB Accepted treatmentBENZHEXOL Trihexyphenidyl 2MG TAB Accepted treatmentLENNON-BIPERIDEN Biperiden 2MG TAB Accepted treatmentARTANE Trihexyphenidyl 2MG TAB Accepted treatmentASPEN BROMOCRIPTINE Bromocriptine 2.5MG TAB Accepted treatmentDISIPAL Orphenadrine (chloride) 50MG TAB Accepted treatmentELDEPRYL Selegiline 5MG TAB Accepted treatmentPARKILYNE Selegiline 5MG TAB Accepted treatmentPARLODEL Bromocriptine 2.5MG TAB Clinical reviewPARLODEL Bromocriptine 5MG CAP Clinical reviewREQUIP 0.25MG Ropinirole 0.25MG TAB Specialist motivationREQUIP 0.5MG Ropinirole 0.5MG TAB Specialist motivationREQUIP 1MG Ropinirole 1MG TAB Specialist motivationREQUIP 2MG Ropinirole 2MG TAB Specialist motivationREQUIP 5MG Ropinirole 5MG TAB Specialist motivationREQUIP XL Ropinirole 2MG SRT Specialist motivationREQUIP XL Ropinirole 4MG SRT Specialist motivationREQUIP XL Ropinirole 8MG SRT Specialist motivation

Parkinson's Disease

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REQUIP XL Ropinirole 8MG SRT Specialist motivationRESURE Ropinirole 0.25MG TAB Specialist motivationRESURE Ropinirole 0.5MG TAB Specialist motivationRESURE Ropinirole 1MG TAB Specialist motivationRESURE Ropinirole 2MG TAB Specialist motivationRESURE Ropinirole 5MG TAB Specialist motivationSYMADIN (WAS FLUSTOP) Amantadine 100MG CAP Accepted treatmentSYMMETREL Amantadine 100MG CAP Accepted treatment

Disease modifying agentsABITREXATE-20ML Methotrexate 500MG/20ML INJ Accepted treatmentABITREXATE-2ML Methotrexate 50MG INJ Accepted treatmentARAVA Leflunomide 100MG TAB Specialist motivationARAVA Leflunomide 10MG TAB Specialist motivationARAVA Leflunomide 20MG TAB Specialist motivationDARAMAL Chloroquine 150MG TAB Accepted treatmentEMTHEXATE Methotrexate 2.5MG TAB Accepted treatmentEMTHEXATE RTU 50-2 2ML Methotrexate 25MG/1ML INJ Accepted treatmentEMTHEXATE RTU 500-20 20ML Methotrexate 25MG/1ML INJ Accepted treatmentMETACHOR VIAL 2ML Methotrexate 25MG/1ML INJ Accepted treatmentMETALCAPTASE Penicillamine 300MG TAB Specialist scriptMETHOTREXATE CSV 2ML (P&U) Methotrexate 50MG/2ML INJ Accepted treatmentMETHOTREXATE CSV 20ML (P&U) Methotrexate 500MG/20ML INJ Accepted treatmentMETHOTREXATE Methotrexate 2.5MG TAB Accepted treatment

Rheumatoid arthritis

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MIRQUIN Chloroquine 50MG/5ML SYR Clinical ReviewNIVAQUINE Chloroquine 200MG TAB Accepted treatmentPLASMOQUINE Chloroquine 200MG CAP Accepted treatmentRIDAURA Auranofin 3MG TAB Specialist motivationROLAB-CHLOROQUINE PHOSPHATE Chloroquine 250MG TAB Accepted treatmentSALAZOPYRIN Sulfasalazine 500MG TAB Accepted treatmentSALAZOPYRIN E.N. Sulfasalazine 500MG ECT Accepted treatmentImmunosuppressantsAZAMUN Azathioprine 50MG TAB Accepted treatmentAZAPRESS Azathioprine 50MG TAB Accepted treatmentAZATHIOPRINE PCH Azathioprine 50MG TAB Accepted treatmentZAPRINE 50MG Azathioprine 50MG TAB Accepted treatmentAlkylating agentsENDOXAN Cyclosphosphamide 50MG TAB Specialist motivationLEUKERAN Chlorambucil 2MG TAB Specialist motivationNon-steroidal anti-inflammatoriesADCO-DICLOFENAC Diclofenac 25MG TAB Accepted treatmentADCO-DICLOFENAC Diclofenac 50MG TAB Accepted treatmentADCO-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentADCO-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentADCO-NAPROXEN Naproxen 250MG TAB Accepted treatmentADCO-PIROXICAM Piroxicam 10MG CAP Accepted treatmentADCO-PIROXICAM Piroxicam 20MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 200MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 400MG CAP Accepted treatmentADVIL PAEDIATRIC SUSPENSION Ibuprofen 100MG/5ML SUS Accepted treatmentAFLAMIN Indometacin 25MG CAP Accepted treatmentA-LENNON DICLOFENAC Diclofenac 25MG TAB Accepted treatmentA-LENNON DICLOFENAC Diclofenac 50MG TAB Accepted treatmentAMDOCIN Indometacin CAP Accepted treatment

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AMDOCIN Indometacin CAP Accepted treatmentARTHREXIN Indometacin 25MG APP Accepted treatmentBE-TABS NAPROXEN Naproxen 250MG TAB Accepted treatmentBETACIN Indometacin 25MG CAP Accepted treatmentBETAGESIC Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN 400 FC Ibuprofen 400MG TAB Accepted treatmentBIO-NAPROXEN Naproxen 250MG TAB Accepted treatmentBREN Ibuprofen 400MG TAB Accepted treatmentBREXECAM Piroxicam 20MG TAB Accepted treatmentBRUFEN Ibuprofen 200MG TAB Accepted treatmentBRUFEN Ibuprofen 400MG TAB Accepted treatmentBRUFEN PAED SUSP Ibuprofen 100MG/5ML SUS Accepted treatmentCPL ALLIANCE PIROXICAM Piroxicam 20MG CAP Accepted treatmentDICLOHEXAL Diclofenac 50MG TAB Accepted treatmentDICLOHEXAL 25T Diclofenac 25MG TAB Accepted treatmentDIFEN SR Diclofenac 100MG TAB Accepted treatmentDYNOFEN Ibuprofen 200mg TAB Accepted treatmentFAMETHACIN Indometacin 25MG CAP Accepted treatmentFLAMARET Indometacin 25MG CAP Accepted treatmentFLAMECID Indometacin 25MG CAP Accepted treatmentFORTFEN SR Diclofenac 100MG SRC Accepted treatmentGULF INDOMETHACIN Indometacin 25MG CAP Accepted treatmentIBOFLAM Ibuprofen 200MG TAB Accepted treatmentIBU Ibuprofen 200MG TAB Accepted treatment

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IBUGESIC Ibuprofen 100MG/5ML SUS Accepted treatmentIBUMAX Ibuprofen 200MG TAB Accepted treatmentIBUMAX Ibuprofen 400MG TAB Accepted treatmentIBUMAX PAEDIATRIC Ibuprofen 100MG/5ML SUS Accepted treatmentIBUMED Ibuprofen 200MG CAP Accepted treatmentIBUNATE Ibuprofen 200MG TAB Accepted treatmentINFLA-BAN SR Diclofenac 100MG TAB Accepted treatmentINZA Ibuprofen 200MG TAB Accepted treatmentINZA Ibuprofen 400MG TAB Accepted treatmentKETOFLAM SR Ketoprofen 200MG SRC Accepted treatmentLENAFEN Ibuprofen 200MG TAB Accepted treatmentMEDIFLEX Indometacin 25MG CAP Accepted treatmentMYLAN DICLOFENAC (ARCANAFENAC) Diclofenac 25MG TAB Accepted treatmentMYLAN DICLOFENAC SOD (ARCANAFENAC) Diclofenac 50MG TAB Accepted treatmentMYLAN NAPROXEN (ARCANA-NAPROXEN) Naproxen 250MG TAB Accepted treatmentMETHOCAPS Indometacin 25MG CAP Accepted treatmentMYPROFLAM SRC Ketoprofen 200MG SRC Accepted treatmentNAPFLAM Naproxen 250MG TAB Accepted treatmentNAPFLAM Naproxen 500MG TAB Accepted treatmentNAPROSCRIPT Naproxen 250MG TAB Accepted treatmentNAPROSCRIPT Naproxen 500MG TAB Accepted treatmentNAPROSYN Naproxen 250MG TAB Accepted treatmentNAPROSYN 500 Naproxen 500MG TAB Accepted treatmentNISAID 25 Indometacin 25MG CAP Accepted treatmentNORFLAM-T Ibuprofen 200MG TAB Accepted treatmentNUROFEN Ibuprofen 200MG TAB Accepted treatmentNUROFEN (CAPLETS) Ibuprofen 200MG CAP Accepted treatmentNUROFEN EXTRA STRENGTH Ibuprofen 400MG TAB Accepted treatmentNUROFEN FOR CHILDREN SUGAR FREE Ibuprofen 100MG/5ML SUS Accepted treatmentNUROFEN FOR CHILDREN STRAWBERRY Ibuprofen 100MG/5ML SUS Accepted treatment

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NUROFEN FOR CHILDREN STRAWBERRY Ibuprofen 100MG/5ML SUS Accepted treatmentORUVAIL 200 Ketoprofen 200MG SRC Accepted treatmentPAINIL Ibuprofen 200MG TAB Accepted treatmentPANAMOR AT-50 Diclofenac 50MG TAB Accepted treatmentPANAMOR SR Diclofenac 100MG TAB Accepted treatmentPANAMOR SR Diclofenac 75MG TAB Accepted treatmentPANAMOR-25 Diclofenac 25MG TAB Accepted treatmentPIXICAM Piroxicam 20MG DSP Accepted treatmentPYROCAPS Piroxicam 20MG CAP Accepted treatmentRANFEN Ibuprofen 200MG TAB Accepted treatmentRANFEN 400 Ibuprofen 400MG TAB Accepted treatmentRHEUGESIC Piroxicam 20MG DSP Accepted treatmentROLAB-ANTIFLAM Ibuprofen 200MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 25MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 50MG TAB Accepted treatmentROLAB-DICLOFENAC SR Diclofenac 100MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 200MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentROLAB-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentROLAB-NAPROXEN Naproxen 250MG TAB Accepted treatmentROLAB-NAPROXEN Naproxen 500MG TAB Accepted treatmentROLAB-PIROXICAM Piroxicam 10MG CAP Accepted treatmentROLAB-PIROXICAM Piroxicam 20MG CAP Accepted treatmentROLAB-PIROXICAM DISP Piroxicam 20MG DSP Accepted treatmentROXIFEN Piroxicam 20MG CAP Accepted treatment

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VELTEX CR Diclofenac 100MG SRC Accepted treatmentVELTEX CR Diclofenac 75MG SRC Accepted treatmentVOLTAREN Diclofenac 25MG TAB Accepted treatmentVOLTAREN 75 Diclofenac 75MG TAB Accepted treatmentVOLTAREN GT Diclofenac 50MG TAB Accepted treatmentVOLTAREN SR Diclofenac 100MG TAB Accepted treatmentXYCAM Piroxicam 20MG CAP Accepted treatmentXYCAM DISPERS Piroxicam 20MG DSP Accepted treatmentOral CorticosteroidsASPELONE Prednisolone 15MG/5ML SYR Accepted treatmentCAPSOID Prednisolone 5MG TAB Accepted treatmentLENISOLONE Prednisolone 5MG TAB Accepted treatmentPANAFCORT Prednisone 5MG TAB Accepted treatmentPREDNISONE (BE-TABS) Prednisone 5MG TAB Accepted treatmentPREDNISONE (FAMS) Prednisone 5MG TAB Accepted treatmentPREFLAM Prednisolone 15MG/5ML SYR Accepted treatmentPRELONE Prednisolone 15MG/5ML SYR Accepted treatmentPULMISON ORAL SOLUTION Prednisone 5MG/1ML SYR Accepted treatmentTROLIC Prednisone 5MG TAB Accepted treatment

Antipsychotic agentsASPEN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)ASPEN RISPERIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)

Schizophrenia

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AUROPIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)AUROPIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)BIO-SULPIRIDE Sulpiride 200MG TAB Accepted treatmentCLOMENT Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)CLOMENT Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)CLOPIXOL DEPOT Zuclopenthixol 200MG/1ML INJS Accepted treatment CLOZAPINE-HEXAL Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)CLOZAPINE-HEXAL Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)DRL RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)EGLONYL FORTE Sulpiride 200MG TAB Accepted treatmentFLUANXOL DEPOT 1ML Flupentixol 20MG/1ML INJS Accepted treatmentFLUANXOL DEPOT 2ML Flupentixol 40MG/2ML INJS Accepted treatmentLARGACTIL Chlorpromazine 100MG TAB Accepted treatmentLARGACTIL Chlorpromazine 10MG TAB Accepted treatmentLARGACTIL Chlorpromazine 25MG TAB Accepted treatmentLARGACTIL Chlorpromazine 50MG TAB Accepted treatmentLEPONEX Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)LEPONEX Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)MYLAN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)

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MODECATE 1ML Fluphenazine 25MG/1ML INJS Accepted treatmentMODECATE+SYRINGE 1ML Fluphenazine 25MG/1ML INJS Accepted treatmentPERIZAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)PERIZAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPACOR Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERDAL QUICKLET Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERIDONE HEXAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPERLET Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)

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RISPONZ Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)RISPONZ Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options)ROLAB-HALOPERIDOL Haloperidol 1.5MG TAB Accepted treatmentROLAB-HALOPERIDOL Haloperidol 5MG TAB Accepted treatmentSCHIZOROL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)SCHIZOROL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)SCHIZOROL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)SERENACE Haloperidol 0.5MG CAP Accepted treatmentSERENACE Haloperidol 1.5MG TAB Accepted treatmentSERENACE Haloperidol 10MG TAB Accepted treatmentSERENACE Haloperidol 5MG TAB Accepted treatmentSTELAZINE Trifluoperazine 1MG TAB Accepted treatmentSTELAZINE Trifluoperazine 5MG TAB Accepted treatmentZOXADON Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)ZOXADON Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options)ZOXADON Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options)AntidepressantsETHIPRAMINE Imipramine 10MG TAB Accepted treatmentETHIPRAMINE Imipramine 25MG TAB Accepted treatmentNORILINE Amitriptyline 10MG TAB Accepted treatmentNORILINE Amitriptyline 25MG TAB Accepted treatmentPROTHIADEN Dothiepin 25MG CAP Accepted treatmentPROTHIADEN Dothiepin 75MG TAB Accepted treatmentROLAB-AMITRIPTYLINE HCL Amitriptyline 25MG TAB Accepted treatmentROLAB-DOTHIEPIN Dothiepin 25MG CAP Accepted treatment

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ROLAB-DOTHIEPIN Dothiepin 75MG TAB Accepted treatmentTHADEN Dothiepin 25MG CAP Accepted treatmentTHADEN Dothiepin 75MG TAB Accepted treatmentTOFRANIL Imipramine 10MG TAB Accepted treatmentTOFRANIL Imipramine 25MG TAB Accepted treatmentTREPILINE Amitriptyline 10MG TAB Accepted treatmentTREPILINE Amitriptyline 25MG TAB Accepted treatmentTRYPTANOL Amitriptyline 25MG TAB Accepted treatmentMood StabilisersARROW LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentARROW LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentASPEN LAMOTRIGINE 100MG Lamotrigine 100MG TAB Accepted treatmentASPEN LAMOTRIGINE 200MG Lamotrigine 200MG TAB Accepted treatmentASPEN LAMOTRIGINE 25MG Lamotrigine 25MG TAB Accepted treatmentASPEN LAMOTRIGINE 50MG Lamotrigine 50MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentAUSTELL-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentCONVULEX Valproic acid 150MG CAP Accepted treatmentCONVULEX Valproic acid 300MG CAP Accepted treatmentCONVULEX Valproic acid 500MG CAP Accepted treatmentDEGRANOL Carbamazepine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentDYNA-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatmentEPILIM 200 EC Valproic acid 200MG ECT Accepted treatment

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EPILIM 200 EC Valproic acid 200MG ECT Accepted treatmentEPILIM 500 EC Valproic acid 500MG ECT Accepted treatmentEPILIM CR Valproic acid 200MG SRT Accepted treatmentEPILIM CR Valproic acid 300MG SRT Accepted treatmentEPILIM CR Valproic acid 500MG SRT Accepted treatmentEPILIM CRUSHABLE Valproic acid 100MG TAB Accepted treatmentEPITEC 100MG Lamotrigine 100MG TAB Accepted treatmentEPITEC 200MG Lamotrigine 200MG TAB Accepted treatmentEPITEC 25MG Lamotrigine 25MG TAB Accepted treatmentEPITEC 50MG Lamotrigine 50MG TAB Accepted treatmentLAMEPTIL Lamotrigine 100MG TAB Accepted treatmentLAMEPTIL Lamotrigine 200MG TAB Accepted treatmentLAMEPTIL Lamotrigine 25MG TAB Accepted treatmentLAMEPTIL Lamotrigine 50MG TAB Accepted treatmentLAMICTIN Lamotrigine 100MG TAB Accepted treatmentLAMICTIN Lamotrigine 200MG TAB Accepted treatmentLAMICTIN Lamotrigine 25MG TAB Accepted treatmentLAMICTIN Lamotrigine 50MG TAB Accepted treatmentLAMICTIN P100 Lamotrigine 100MG DSP Accepted treatmentLAMICTIN P2 Lamotrigine 2MG DSP Accepted treatmentLAMICTIN P200 Lamotrigine 200MG DSP Accepted treatmentLAMICTIN P25 Lamotrigine 25MG DSP Accepted treatmentLAMICTIN P5 Lamotrigine 5MG DSP Accepted treatmentLAMICTIN P50 Lamotrigine 50MG DSP Accepted treatmentLAMIDUS Lamotrigine 100MG TAB Accepted treatment

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LAMIDUS Lamotrigine 200MG TAB Accepted treatmentLAMIDUS Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 100MG TAB Accepted treatmentLAMITOR Lamotrigine 25MG TAB Accepted treatmentLAMITOR Lamotrigine 50MG TAB Accepted treatmentLAMITOR Lamotrigine 200MG TAB Accepted treatmentROLAB-CARBAMAZEPINE Carbamazepine 200MG TAB Accepted treatmentSANDOZ CARBAMAZEPINE CR200 Carbamazepine 200MG SRT Accepted treatmentSANDOZ CARBAMAZIPINE CR400 Carbamazepine 400MG SRT Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatmentSANDOZ LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatment

Non-steroidal anti-inflammatoriesADCO-DICLOFENAC Diclofenac 25MG TAB Accepted treatmentADCO-DICLOFENAC Diclofenac 50MG TAB Accepted treatmentADCO-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentADCO-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentADCO-NAPROXEN Naproxen 250MG TAB Accepted treatmentADCO-PIROXICAM Piroxicam 10MG CAP Accepted treatmentADCO-PIROXICAM Piroxicam 20MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 200MG CAP Accepted treatmentADVIL LIQUI GEL Ibuprofen 400MG CAP Accepted treatmentAFLAMIN Indometacin 25MG CAP Accepted treatmentA-LENNON DICLOFENAC Diclofenac 25MG TAB Accepted treatmentA-LENNON DICLOFENAC Diclofenac 50MG TAB Accepted treatmentAMDOCIN Indometacin CAP Accepted treatmentARTHREXIN Indometacin 25MG APP Accepted treatment

Systemic Lupus Erythematosus

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ARTHREXIN Indometacin 25MG APP Accepted treatmentBE-TABS NAPROXEN Naproxen 250MG TAB Accepted treatmentBETACIN Indometacin 25MG CAP Accepted treatmentBETAGESIC Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN Ibuprofen 200MG TAB Accepted treatmentBETAPROFEN 400 FC Ibuprofen 400MG TAB Accepted treatmentBIO-NAPROXEN Naproxen 250MG TAB Accepted treatmentBREN Ibuprofen 400MG TAB Accepted treatmentBREXECAM Piroxicam 20MG TAB Accepted treatmentBRUFEN Ibuprofen 200MG TAB Accepted treatmentBRUFEN Ibuprofen 400MG TAB Accepted treatmentCPL ALLIANCE PIROXICAM Piroxicam 20MG CAP Accepted treatmentDICLOHEXAL Diclofenac 50MG TAB Accepted treatmentDICLOHEXAL 25T Diclofenac 25MG TAB Accepted treatmentDIFEN SR Diclofenac 100MG TAB Accepted treatmentDYNOFEN Ibuprofen 200mg TAB Accepted treatmentFAMETHACIN Indometacin 25MG CAP Accepted treatmentFLAMARET Indometacin 25MG CAP Accepted treatmentFLAMECID Indometacin 25MG CAP Accepted treatmentFORTFEN SR Diclofenac 100MG SRC Accepted treatmentGULF INDOMETHACIN Indometacin 25MG CAP Accepted treatmentIBOFLAM Ibuprofen 200MG TAB Accepted treatmentIBU Ibuprofen 200MG TAB Accepted treatmentIBUGESIC Ibuprofen 100MG/5ML SUS Accepted treatmentIBUMAX Ibuprofen 200MG TAB Accepted treatment

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IBUMAX Ibuprofen 400MG TAB Accepted treatmentIBUMAX PAEDIATRIC Ibuprofen 100MG/5ML SUS Accepted treatmentIBUMED Ibuprofen 200MG CAP Accepted treatmentIBUNATE Ibuprofen 200MG TAB Accepted treatmentINFLA-BAN SR Diclofenac 100MG TAB Accepted treatmentINZA Ibuprofen 200MG TAB Accepted treatmentINZA Ibuprofen 400MG TAB Accepted treatmentKETOFLAM SR Ketoprofen 200MG SRC Accepted treatmentLENAFEN Ibuprofen 200MG TAB Accepted treatmentMEDIFLEX Indometacin 25MG CAP Accepted treatmentMYLAN DICLOFENAC (ARCANAFENAC) Diclofenac 25MG TAB Accepted treatmentMYLAN DICLOFENAC SOD (ARCANAFENAC) Diclofenac 50MG TAB Accepted treatmentMYLAN NAPROXEN (ARCANA-NAPROXEN) Naproxen 250MG TAB Accepted treatmentMETHOCAPS Indometacin 25MG CAP Accepted treatmentMYPROFLAM SRC Ketoprofen 200MG SRC Accepted treatmentNAPFLAM Naproxen 250MG TAB Accepted treatmentNAPFLAM Naproxen 500MG TAB Accepted treatmentNAPROSCRIPT Naproxen 250MG TAB Accepted treatmentNAPROSCRIPT Naproxen 500MG TAB Accepted treatmentNAPROSYN Naproxen 250MG TAB Accepted treatmentNAPROSYN 500 Naproxen 500MG TAB Accepted treatmentNISAID 25 Indometacin 25MG CAP Accepted treatmentNORFLAM-T Ibuprofen 200MG TAB Accepted treatmentNUROFEN Ibuprofen 200MG TAB Accepted treatmentNUROFEN (CAPLETS) Ibuprofen 200MG CAP Accepted treatmentNUROFEN EXTRA STRENGTH Ibuprofen 400MG TAB Accepted treatmentORUVAIL 200 Ketoprofen 200MG SRC Accepted treatmentPAINIL Ibuprofen 200MG TAB Accepted treatmentPANAMOR AT-50 Diclofenac 50MG TAB Accepted treatmentPANAMOR SR Diclofenac 100MG TAB Accepted treatment

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PANAMOR SR Diclofenac 100MG TAB Accepted treatmentPANAMOR SR Diclofenac 75MG TAB Accepted treatmentPANAMOR-25 Diclofenac 25MG TAB Accepted treatmentPIXICAM Piroxicam 20MG DSP Accepted treatmentPYROCAPS Piroxicam 20MG CAP Accepted treatmentRANFEN Ibuprofen 200MG TAB Accepted treatmentRANFEN 400 Ibuprofen 400MG TAB Accepted treatmentRHEUGESIC Piroxicam 20MG DSP Accepted treatmentROLAB-ANTIFLAM Ibuprofen 200MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 25MG TAB Accepted treatmentROLAB-DICLOFENAC SODIUM Diclofenac 50MG TAB Accepted treatmentROLAB-DICLOFENAC SR Diclofenac 100MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 200MG TAB Accepted treatmentROLAB-IBUPROFEN Ibuprofen 400MG TAB Accepted treatmentROLAB-INDOMETHACIN Indometacin 25MG CAP Accepted treatmentROLAB-NAPROXEN Naproxen 250MG TAB Accepted treatmentROLAB-NAPROXEN Naproxen 500MG TAB Accepted treatmentROLAB-PIROXICAM Piroxicam 10MG CAP Accepted treatmentROLAB-PIROXICAM Piroxicam 20MG CAP Accepted treatmentROLAB-PIROXICAM DISP Piroxicam 20MG DSP Accepted treatmentROXIFEN Piroxicam 20MG CAP Accepted treatmentVELTEX CR Diclofenac 100MG SRC Accepted treatmentVELTEX CR Diclofenac 75MG SRC Accepted treatmentVOLTAREN Diclofenac 25MG TAB Accepted treatmentVOLTAREN 75 Diclofenac 75MG TAB Accepted treatment

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VOLTAREN GT Diclofenac 50MG TAB Accepted treatmentVOLTAREN SR Diclofenac 100MG TAB Accepted treatmentXYCAM Piroxicam 20MG CAP Accepted treatmentXYCAM DISPERS Piroxicam 20MG DSP Accepted treatmentOral CorticosteroidsCAPSOID Prednisolone 5MG TAB Accepted treatmentLENISOLONE Prednisolone 5MG TAB Accepted treatmentPANAFCORT Prednisone 5MG TAB Accepted treatmentPREDNISONE (BE-TABS) Prednisone 5MG TAB Accepted treatmentPREDNISONE (FAMS) Prednisone 5MG TAB Accepted treatmentTROLIC Prednisone 5MG TAB Accepted treatmentAnticoagulantsASPIRIN (WHITE) Acetylsalicylic acid 300MG TAB Accepted treatmentASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentBAYER ASPIRIN CARDIO Acetylsalicylic acid 100MG TAB Accepted treatmentCOMPRAL Acetylsalicylic acid 81MG TAB Accepted treatmentCOPRIN 81 Acetylsalicylic acid 81MG ECT Accepted treatmentDISPRIN CV Acetylsalicylic acid 100MG EEF Accepted treatmentDISPRIN CV Acetylsalicylic acid 300MG EEF Accepted treatmentDISPRIN REGULAR Acetylsalicylic acid 300MG EEF Accepted treatmentECOTRIN Acetylsalicylic acid 81MG ECT Accepted treatmentGENPHARM CHILDREN ASPIRIN (ASPIRIN JUNIO Acetylsalicylic acid 60MG TAB Accepted treatmentGULF ASPIRIN Acetylsalicylic acid 300MG TAB Accepted treatmentJUNIOR ASPIRIN (slt) Acetylsalicylic acid 97MG TAB Accepted treatmentLO-ASPIRIN (CAPRIN) Acetylsalicylic acid 125MG TAB Accepted treatmentMYOPRIN Acetylsalicylic acid 100MG EEF Accepted treatmentPCH ACETYLSALICYLIC ACID CARDIO Acetylsalicylic acid 80MG DSP Accepted treatment

Disease modifying agents

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Disease modifying agentsABITREXATE-20ML Methotrexate 500MG/20ML INJ Accepted treatmentABITREXATE-2ML Methotrexate 50MG INJ Accepted treatmentEMTHEXATE Methotrexate 2.5MG TAB Accepted treatmentEMTHEXATE RTU 50-2 2ML Methotrexate 25MG/1ML INJ Accepted treatmentEMTHEXATE RTU 500-20 20ML Methotrexate 25MG/1ML INJ Accepted treatmentMETACHOR VIAL 2ML Methotrexate 25MG/1ML INJ Accepted treatmentMETHOTREXATE CSV 2ML (P&U) Methotrexate 50MG/2ML INJ Accepted treatmentMETHOTREXATE CSV 20ML (P&U) Methotrexate 500MG/20ML INJ Accepted treatmentMETHOTREXATE Methotrexate 2.5MG TAB Accepted treatmentImmunosuppressantsAZAMUN Azathioprine 50MG TAB Accepted treatmentAZAPRESS Azathioprine 50MG TAB Accepted treatmentAZATHIOPRINE PCH Azathioprine 50MG TAB Accepted treatmentZAPRINE 50MG Azathioprine 50MG TAB Accepted treatmentAlkylating agentsENDOXAN Cyclosphosphamide 50MG TAB Specialist Motivation

Aminosalicylic acid preparationsSALAZOPYRIN Sulfasalazine 500MG TAB Accepted treatmentSALAZOPYRIN E.N. Sulfasalazine 500MG ECT Accepted treatmentImmunosuppressantsAZAMUN Azathioprine 50MG TAB Accepted treatmentAZAPRESS Azathioprine 50MG TAB Accepted treatment

Ulcerative colitis

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AZATHIOPRINE PCH Azathioprine 50MG TAB Accepted treatmentZAPRINE 50MG Azathioprine 50MG TAB Accepted treatmentSteroid preparations (oral)CAPSOID Prednisolone 5MG TAB Accepted treatmentLENISOLONE Prednisolone 5MG TAB Accepted treatmentPANAFCORT Prednisone 5MG TAB Accepted treatmentPREDNISONE (BE-TABS) Prednisone 5mg TAB Accepted treatmentPREDNISONE (FAMS) Prednisone 5MG TAB Accepted treatmentTROLIC Prednisone 5MG TAB Accepted treatmentSteroid preparations (enemas)ENTOCORD ENEMAS Budesonide 2.3MG ENE Accepted treatment

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