Active Saver Formulary

You can search to find a condition or medication in list below.

CONDITIONICD 10MAJOR DRUG CLASSACTIVE INGREDIENTSBRAND NAMENAPPIBRAND NAMENAPPICLINICAL REQUIREMENTS
ADDISON'S DISEASEE27.1
ADDISON'S DISEASEE27.1CORTICOSTEROIDSHYDROCORTISONE 10MGCOVOCORT 10MG 716693
ADDISON'S DISEASEE27.1CORTICOSTEROIDSFLUDROCORTISONE, 0.1MGFLORINEF 0.1MG 726540
ADDISON'S DISEASEE27.1POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753FOR LONG TERM CORTICOSTERIOD USE
ADDISON'S DISEASEE27.1PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
ADDISON'S DISEASEE27.1LOOP DIURETICSFUROSEMIDE 20MGAUSTELL FUROSEMIDE 20MG 707421
ADDISON'S DISEASEE27.1LOOP DIURETICSFUROSEMIDE 40MGMYLAN FUROSEMIDE 40MG857769SANDOZ FUROSEMIDE 731668
ASTHMAJ45
ASTHMAJ45APPARATUSAEROCHAMBERGLAXOHALER SPACER DEVICE666720
ASTHMAJ45APPARATUSAEROCHAMBERHUF PUF KIT 125137
ASTHMAJ45APPARATUSAEROCHAMBERZEROSTAT SPACER454299
ASTHMAJ45CORTICOSTEROIDSPREDNISONE 5MGBE-TABS PREDNISONE 788783ONLY FOR SEVERE PERSISTENT ASTHMA (MOTIVATION REQUIRED FROM SPECIALIST)
ASTHMAJ45CORTICOSTEROIDSPREDNISOLONE 5MG ASPELONE714552ONLY FOR SEVERE PERSISTENT ASTHMA (MOTIVATION REQUIRED FROM SPECIALIST)
ASTHMAJ45SYMPATHOMIMETICSFENOTEROL 100MCGBEROTEC 100 HFA 200 DOSE706544
ASTHMAJ45SYMPATHOMIMETICSSALBUTAMOL SULPHATE 100MCGASTHAVENT 300DOSE ECOHALER700715LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID
ASTHMAJ45SYMPATHOMIMETICSSALBUTAMOL SULPHATE 2MGVENTEZE 2MG775398
ASTHMAJ45SYMPATHOMIMETICSSALBUTAMOL SULPHATE 4MGVENTEZE 4MG775401
ASTHMAJ45SYMPATHOMIMETICSSALBUTAMOL SULPHATE 2MG/5MLVENTEZE 2MG/5ML775452
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT CFC FREE INHALER708289ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT 120 DOSE787302ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL XINAFOATE 50MCGSEREVENT ACCUHALER 60 DOSE818496ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT 60 DOSE791695ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/50MCG 120 DOSE INH715752SEREFLO 25/50MCG SYNCHROBREATHER 120 DOSE INH721412ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/125MCG 120 DOSE INH715753SEREFLO 25/125MCG SYNCHROBREATHER 120 DOSE INH721413ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/250MCG 120 DOSE INH715754SEREFLO 25/250MCG SYNCHOBREATHER 120 DOSE INH721414ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 100UG FOXAIR 50/100MCG 60 BLISTERS715009ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 250UG FOXAIR 50/250MCG 60 BLISTERS715008ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 500UG FOXAIR 50/250MCG 60 BLISTERS715007ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSBUDESONIDE 160 / FORMOTEROL 4.5MCGSYMBICORD 60 DOSE 700172ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSBUDESONIDE 160 / FORMOTEROL 4.5MCGSYMBICORD 120 DOSE700173VANNAIR 160/4.5MCG720219ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSBUDESONIDE 320 / FORMOTEROL 9MCGSYMBICORD 60 DOSE 705984ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45SYMPATHOMIMETICSBUDESONIDE 80 / FORMOTEROL 4.5MCGSYMBICORD 120 DOSE 705986VANNAIR 80/4.5MCG720218ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBECLOMETHASONE 100UGBECLATE 100UG819638ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBECLOMETHASONE 200UGBECLATE 200UG820083ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBECLOMETHASONE 50UGBECLATE 50UG819611ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 100UGBUDEFLAM 100UG 300 DOSE897462ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 200UGBUDEFLAM 200 MG 300 DOSE897469ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 200UGBUDEFLAM DP INH CAP704176ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 200UGPULMICORT TURBOHALER 200MCG 200D791423
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 200UGPULMICORT TURBOHALER 100MCG 200D791431
ASTHMAJ45GLUCOCORTICOIDSBUDESONIDE 400UGPULMICORT TURBOHALER 400MCG 200D823791
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 50MCGFLIXOTIDE 50 CFC FREE INHALER703275ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 50MCGFLIXOTIDE ACCUHALER 60 DOSE818445
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 100MCGFLIXOTIDE ACCUHALER 60 DOSE818453ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 125MCGFLIXOTIDE 125 CFC FREE INHALER897752ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 250MCGFLIXOTIDE 250 CFC FREE INHALER897759ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 250MCGFLIXOTIDE ACCUHALER 60 DOSE818461ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45GLUCOCORTICOIDSFLUTICASONE 500MCGFLIXOTIDE ACCUHALER 60 DOSE818488ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45LABAFORMOTEROL 12MCGFORATEC HFA 120DOSE840246ONLY FOR MODERATE & SEVERE PERSISTENT ASTHMA
ASTHMAJ45METHYLXANTHINETHEOPHYLLINE 200MGSANDOZ THEOPHYLLINE 200MG788368THEOPLUS 200MG 783005
ASTHMAJ45METHYLXANTHINETHEOPHYLLINE 300MGSANDOZ THEOPHYLLINE 300MG788376THEOPLUS 300MG 783013
ASTHMAJ45INHALED ANTICHOLINERGICSIPRATROPIUM BROMIDEIPVENT 40MCG INH 300DOSE704681
BIPOLAR DEPRESSIONF31
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICVALPROIC ACID 150MGCONVULEX 150MG715980
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICVALPROIC ACID 300MGCONVULEX 300MG715999
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICVALPROIC ACID 500MGCONVULEX 500MG781568
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICVALPROIC ACID 250MG/ 5MLCONVULEX SUSPENSION781541
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICCARBAMAZEPINE 200MGDEGRANOL 200MG712493THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICSODIUM VALPROATEEPILIM 200MG/5ML LIQUID780545 THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICSODIUM VALPROATEEPROLEP CR 200MG721460NAVALPRO CR 200MG718465
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICSODIUM VALPROATEEPROLEP CR 300MG720762NAVALPRO CR 300MG718466
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICSODIUM VALPROATEEPROLEP CR 500MG721055NAVALPRO CR 500MG718468
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICSODIUM VALPROATEEPILIM CRUSHABLE 100MG821578
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICLAMOTRIGINE 25MGEPITEC 25MG TABS704379THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICLAMOTRIGINE 50MGLAMIDUS 50MG 710885EPITEC 50MG TABS704380THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICLAMOTRIGINE 100MGLAMIDUS 100MG710887EPITEC 100MG TABS704381THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-EPILEPTICLAMOTRIGINE 200MGLAMIDUS 200MG710888EPITEC 200MG TABS704382THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ATYPICAL ANTIPSYCHOTICQUETIAPINE 25MGDOPAQUEL 25MG716050QUETOSER 25MG716635
BIPOLAR DEPRESSIONF31ATYPICAL ANTIPSYCHOTICQUETIAPINE 100MGDOPAQUEL 100MG716051QUETOSER 100MG716636
BIPOLAR DEPRESSIONF31ATYPICAL ANTIPSYCHOTICQUETIAPINE 200MGDOPAQUEL 200MG716052QUETOSER 200MG716637
BIPOLAR DEPRESSIONF31ATYPICAL ANTIPSYCHOTICQUETIAPINE 300MGDOPAQUEL 300MG716053QUETOSER 300MG716638
BIPOLAR DEPRESSIONF31BENZAMIDESSULPIRIDE 50MGESPIRIDE819654THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31BUTYREPHENONESHALOPERIDOL 1.5MGSANDOZ HALOPERIDOL 1.5MG 730335THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31BUTYREPHENONESHALOPERIDOL 5MGSANDOZ HALOPERIDOL 5MG 730327THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31BUTYREPHENONESHALOPERIDOL 0.5MGSERENACE 0.5MG763411THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31LITHIUMLITHIUM CARBONATE 250MGCAMCOLIT 250MG712078THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31LITHIUMLITHIUM CARBONATE 400MGCAMCOLIT 400MG712086THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31LITHIUMLITHIUM CARBONATE 450MGQUILONUM RET 450MCG TAB758833THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31MAOIMOCLOBEMIDE 150MGDEPNIL897213THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31MAOIMOCLOBEMIDE 300MGDEPNIL702008THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31PHENOTHIAZINESCHLORPROMAZINE 25MGLARGACTIL 25MG 735868THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31PHENOTHIAZINESCHLORPROMAZINE 100MGLARGACTIL 100MG 735884THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31PHENOTHIAZINESCHLORPROMAZINE 50MGLARGACTIL 50MG 735876THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31SSRIFLUOXETINE 20MGRANFLOCS 20MG700686DEPROZAN 20MG8943031ST LINE AGENT
BIPOLAR DEPRESSIONF31SSRICITALOPRAM 20MGTALOMIL 20MG 702769CILATE 20MG 7078881ST LINE AGENT
BIPOLAR DEPRESSIONF31SSRIPAROXETINE 20MGSERRAPRESS 20MG705122XET 20MG7056331ST LINE AGENT
BIPOLAR DEPRESSIONF31SSRISERTRALINE 50MGDYNA-SERTRALINE 50MG719972SERLIFE 50MG703132
BIPOLAR DEPRESSIONF31SSRISERTRALINE 100MGDYNA-SERTRALINE 100MG 719973SERLIFE 100MG703999
BIPOLAR DEPRESSIONF31SNRIVENLAFAXINE 37.5MGODIVEN 37.5MG710972
BIPOLAR DEPRESSIONF31SNRIVENLAFAXINE HCL 37.5MGILLOVEX SR 37.5MG TABS713648VENLOR XR 37.5706399
BIPOLAR DEPRESSIONF31SNRIVENLAFAXINE 75MGILLOVEX SR 75MG TABS713649VENLOR XR 75MG706402
BIPOLAR DEPRESSIONF31SNRIVENLAFAXINE 150MGILLOVEX SR 150MG TABS713650VENLOR XR 150MG706404
BIPOLAR DEPRESSIONF31TRICYCLIC ANTIDEPRESSANTSDOTHIEPIN 25MGTHADEN 25MG800198THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31TRICYCLIC ANTIDEPRESSANTSDOTHIEPIN 75MGTHADEN 75MG800201THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 10MGTREPILINE 10MG772003THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 25MGTREPILINE 25MG771996GULF AMITRIPRYLINE718746THERAPY MUST BE INITIATED BY A PSYCHIATRIST
BIPOLAR DEPRESSIONF31ANTI-CHOLINERGICORPHENADRINE 50MGDISIPAL 50MG720542IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG-INDUCED DYSKINESIAS
BIPOLAR DEPRESSIONF31BETA-RECEPTOR BLOCKERSPROPRANOLOL HCL 10MGINDOBLOK 10MG806552IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG-INDUCED DYSKINESIAS
BIPOLAR DEPRESSIONF31BETA-RECEPTOR BLOCKERSPROPRANOLOL HCL 40MGINDOBLOK 40MG806560IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG-INDUCED DYSKINESIAS
BRONCHIECTASISJ47
BRONCHIECTASISJ47ANTIBIOTICSDOXYCYCLINE 50MGDUMOXIN 50798401
BRONCHIECTASISJ47ANTIBIOTICSAMOXYCILLIN 500MGMOXYPEN 744697
BRONCHIECTASISJ47ANTIBIOTICSTRIMETHOPRIM-SULFAMETHOXAZOLE 80/400DUROBAC 480MG721751
BRONCHIECTASISJ47ANTIBIOTICSDOXYCYCLINE HCL 100MGDOXIMAL 100MG883992
BRONCHIECTASISJ47CORTICOSTEROIDSPREDNISONE 5MGBE-TABS PREDNISONE 788783
BRONCHIECTASISJ47INHALED ANTI CHOLINERGICSIPRATROPIUM BROMIDE 40UGIPVENT-40 300DOSE704681
BRONCHIECTASISJ47COMBINATIONSIPRATROPIUM BROM. 20UG; SALBUTAMOL SULPH. TO SALBUTAMOL 100UG/MET.DOS.COMBIVENT INHALER824623
BRONCHIECTASISJ47SYMPATHOMIMETICSFORMOTEROL FUMERATEFORATEC HFA 120DOSE710307
BRONCHIECTASISJ47SYMPATHOMIMETICSFENOTEROL 100MCGBEROTEC 100 HFA 200 DOSE706544
BRONCHIECTASISJ47SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT ACCUHALER 60 DOSE818496
BRONCHIECTASISJ47SYMPATHOMIMETICSSALMETEROL XINAFOATE 50MCGSEREVENT INHALER 60 DOSE791695SEREVENT INHALER 120 DOSE787302
BRONCHIECTASISJ47INHALED BETA 2-AGONISTS,SALBUTAMOL 100UG INHALERASTHAVENT 200DOSE819603VENTEZE CFC FREE 200DOSE711213
BRONCHIECTASISJ47METHYLXANTHINETHEOPHYLLINE 200MGSANDOZ THEOPHYLLINE 200MG788368THEOPLUS 200MG 783005
BRONCHIECTASISJ47METHYLXANTHINETHEOPHYLLINE 300MGSANDOZ THEOPHYLLINE 300MG788376THEOPLUS 300MG 783013
CARDIAC FAILUREI50
CARDIAC FAILUREI50ACE INHIBITORSLISINOPRIL 5MGSINOPREN 5MG700691ZEMAX 5MG703646
CARDIAC FAILUREI50ACE INHIBITORSLISINOPRIL 10MGSINOPREN 10MG700692AUSTELL LISINOPRIL 10MG712598
CARDIAC FAILUREI50ACE INHIBITORSLISINOPRIL 20MGSINOPREN 20MG700694AUSTELL LISINOPRIL 20MG708189
CARDIAC FAILUREI50ACE INHIBITORSRAMIPRIL 2.5MGRAMPIL 2.5MG705427
CARDIAC FAILUREI50ACE INHIBITORSRAMIPRIL 5MGRAMPIL 5MG705428
CARDIAC FAILUREI50ACE INHIBITORSRAMIPRIL 10MGRAMPIL10MG705429
CARDIAC FAILUREI50ACE INHIBITORSENALAPRIL 10MGALAPREN 10MG881481
CARDIAC FAILUREI50ACE INHIBITORSENALAPRIL 20MGALAPREN 20MG881503
CARDIAC FAILUREI50ACE INHIBITORSENALAPRIL 5MGALAPREN 5MG886835
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSENALAPRIL / HYDROCHLORTHIAZIDEENAP CO 20MG/12.5MG891287
CARDIAC FAILUREI50ACE INHIBITORS COMBINATIONPERINDOPRIL 2,5MG/INDAPAMIDE 0.625MGPREXUM 2.5 PLUS721507
CARDIAC FAILUREI50ACE INHIBITORSPERINDOPRIL TERTBUTYLAMINE SALT 4MGPREXUM 4MG703541VECTORYL 4MG710297
CARDIAC FAILUREI50ACE INHIBITORSPERINDOPRIL 5MGPREXUM 5MG 720387
CARDIAC FAILUREI50ACE INHIBITORSPERINDOPRIL TERTBUTYLAMINE SALT 8MGPEARINDA 8MG714528VECTORYL 8MG710925
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL TERTBUTYLAMINE SALT 4MG; INDAPAMIDE 1.25MGPREXUM PLUS 704929VECTORYL PLUS710298
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 5/1.25 MG720388
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/INDAPAMIDE 2.5MGBIOPREXUM 10/2.5MG721508
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 10MG COVERAM 10/10MG 719853
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 5MG COVERAM 10/5MG 719854
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 10MG COVERAM 5/10MG 719852
CARDIAC FAILUREI50ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 5MG COVERAM 5/5MG 719855
CARDIAC FAILUREI50ALDOSTERONE ANTAGONISTSPIRINOLACTONE 25SPIRACTIN 25MG765910
CARDIAC FAILUREI50ALPHA + BETA BLOCKERCARVEDILOL 12.5MGCARLOC 12.5MG700168CARVETREND 12.5MG704671
CARDIAC FAILUREI50ALPHA + BETA BLOCKERCARVEDILOL 6.25MGCARLOC 6.25MG705459CARVETREND 6.25MG704670
CARDIAC FAILUREI50ALPHA + BETA BLOCKERCARVEDILOL 25MGCARLOC 25MG897117CARVETREND 25MG704672
CARDIAC FAILUREI50CARDIAC GLYCOSIDESDIGOXIN LANOXIN 0.0625MG735760
CARDIAC FAILUREI50CARDIAC GLYCOSIDESDIGOXIN LANOXIN 0.25MG735752
CARDIAC FAILUREI50ANTICOAGULANTWARFARIN 5MG CIPLA-WARFARIN712390
CARDIAC FAILUREI50BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
CARDIAC FAILUREI50BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
CARDIAC FAILUREI50BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
CARDIAC FAILUREI50BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
CARDIAC FAILUREI50BETA-BLOCKERSBISOPROLOL 5MGBILOCOR 5MG704372
CARDIAC FAILUREI50BETA-BLOCKERSBISOPROLOL 10MGBILOCOR 10MG704373
CARDIAC FAILUREI50BETA-BLOCKERS/DIURETICBISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 2.5MG/6.25MG718082
CARDIAC FAILUREI50BETA-BLOCKERS/DIURETICBISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 5MG/6.25MG718086
CARDIAC FAILUREI50DIRECT ACTING VASODILATORSHYDRALAZINE 10MGHYPERPHEN 10MG731714
CARDIAC FAILUREI50DIRECT ACTING VASODILATORSHYDRALAZINE 50MGHYPERPHEN 50MG731722
CARDIAC FAILUREI50LOOP DIURETICSFUROSEMIDE 40MGMYLAN FUROSEMIDE 40MG857769SANDOZ FUROSEMIDE 731668
CARDIAC FAILUREI50LOOP DIURETICSFUROSEMIDE 20MGAUSTELL FUROSEMIDE 20MG707421
CARDIAC FAILUREI50NITRATESISOSORBIDE DINITRATE 10MGISORDIL 10MG734381
CARDIAC FAILUREI50NITRATESISOSORBIDE DINITRATE 30MGISORDIL 30MG734403
CARDIAC FAILUREI50NITRATESISOSORBIDE DINITRATE 5MGISORDIL 5MG734411
CARDIAC FAILUREI50NITRATESISOSORBIDE MONONITRATE 20MGISMO 20MG734055
CARDIAC FAILUREI50PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481
CARDIAC FAILUREI50PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
CARDIAC FAILUREI50POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753IF >120 REQUIRED, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED
CARDIAC FAILUREI50THIAZIDE DIURETICHYDROCHLORTHIAZIDEHEXAZIDE890470
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSAMLODIPINE 10MGGULF AMLODIPINE 10MG712954LOMANOR 10MG 708353
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSAMLODIPINE 5MGAMTAS 5MG713971LOMANOR 5MG708352
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSVERAPAMIL 240 SRVERAHEXAL 240 SR700071
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSVERAPAMIL 40MGVASOMIL 40MG774944
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSVERAPAMIL 80MGVASOMIL 80MG774952
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 20MGCIPALAT RETARD 20MG864153
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 30MGCIPALAT XR 30MG723283
CARDIAC FAILUREI50CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 60MGCIPALAT XR 60MG723284
CARDIAC FAILUREI50ANGIOTENSIN RECEPTOR BLOCKERS (ARBS)LOSARTAN 50MGCIPLAZAR 50MG716643MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIAC FAILUREI50ANGIOTENSIN RECEPTOR BLOCKERS (ARBS)LOSARTAN 100MGCIPLAZAR 100MG716644MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIAC FAILUREI50ARB COMBINATIONSLOSARTAN 100MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 100/25MG715857MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIAC FAILUREI50ARB COMBINATIONSLOSARTAN 50MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 50/12.5MG715856MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIAC FAILUREI50LOW CEILING DIURETICSINDAPAMIDEDYNA-INDAPAMIDE SR 1.5MG716962
CARDIAC FAILUREI50LOW CEILING DIURETICSINDAPAMIDEMYLAN-INDAPAMIDE 2.5MG703329CIPLA- INDAPAMIDE 2.5MG710313
CARDIOMYOPATHYI42
CARDIOMYOPATHYI42ACE INHIBITORSENALAPRIL 10MGALAPREN 10MG881481
CARDIOMYOPATHYI42ACE INHIBITORSENALAPRIL 20MGALAPREN 20MG881503
CARDIOMYOPATHYI42ACE INHIBITORSENALAPRIL 5MGALAPREN 5MG886835
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSENALAPRIL / HYDROCHLORTHIAZIDEENAP CO 20MG/12.5MG891287
CARDIOMYOPATHYI42ACE INHIBITORSLISINOPRIL 5MGSINOPREN 5MG700691ZEMAX 5MG703646
CARDIOMYOPATHYI42ACE INHIBITORSLISINOPRIL 10MGSINOPREN 10MG700692AUSTELL LISINOPRIL 10MG712598
CARDIOMYOPATHYI42ACE INHIBITORSLISINOPRIL 20MGSINOPREN 20MG700694AUSTELL LISINOPRIL 20MG708189
CARDIOMYOPATHYI42ACE INHBITOR COMBINATIONSLISINOPRIL 10MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 10/12.5MG704597HEXAL-LISINOPRIL CO 10/12.5MG704703
CARDIOMYOPATHYI42ACE INHBITOR COMBINATIONSLISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 20/12.5MG704598HEXAL-LISINOPRIL CO 20/12.5MG704704
CARDIOMYOPATHYI42ACE INHIBITORSRAMIPRIL 2.5MGRAMPIL 2.5MG705427
CARDIOMYOPATHYI42ACE INHIBITORSRAMIPRIL 5MGRAMPIL 5MG705428
CARDIOMYOPATHYI42ACE INHIBITORSRAMIPRIL 10MGRAMPIL10MG705429
CARDIOMYOPATHYI42ACE INHIBITORS COMBINATIONPERINDOPRIL 2,5MG/INDAPAMIDE 0.625MGPREXUM 2.5 PLUS721507
CARDIOMYOPATHYI42ACE INHIBITORSPERINDOPRIL TERTBUTYLAMINE SALT 4MGPREXUM 4MG703541VECTORYL 4MG710297
CARDIOMYOPATHYI42ACE INHIBITORSPERINDOPRIL 4MGPREXUM 5MG 720387
CARDIOMYOPATHYI42ACE INHIBITORSPERINDOPRIL TERTBUTYLAMINE SALT 8MGPEARINDA 8MG714528VECTORYL 8MG710925
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL TERTBUTYLAMINE SALT 4MG; INDAPAMIDE 1.25MGPREXUM PLUS 704929VECTORYL PLUS710298
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 5/1.25 MG720388
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/INDAPAMIDE 2.5MGBIOPREXUM PLUS 10/2.5MG721508
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 10MG COVERAM 10/10MG 719853
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 5MG COVERAM 10/5MG 719854
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 10MG COVERAM 5/10MG 719852
CARDIOMYOPATHYI42ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 5MG COVERAM 5/5MG 719855
CARDIOMYOPATHYI42ANGIOTENSIN RECEPTOR BLOCKERS (ARBS)LOSARTAN 50MGCIPLAZAR 50MG716643MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIOMYOPATHYI42ANGIOTENSIN RECEPTOR BLOCKERS (ARBS)LOSARTAN 100MGCIPLAZAR 100MG716644MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIOMYOPATHYI42ARB COMBINATIONSLOSARTAN 100MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 100/25MG715857MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIOMYOPATHYI42ARB COMBINATIONSLOSARTAN 50MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 50/12.5MG715856MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
CARDIOMYOPATHYI42ALDOSTERONE ANTAGONISTSPIRINOLACTONE 25SPIRACTIN 25MG765910
CARDIOMYOPATHYI42ALPHA + BETA BLOCKERCARVEDILOL 12.5MGCARLOC 12.5MG700168CARVETREND 12.5MG704671
CARDIOMYOPATHYI42ALPHA + BETA BLOCKERCARVEDILOL 6.25MGCARLOC 6.25MG705459CARVETREND 6.25MG704670
CARDIOMYOPATHYI42ALPHA + BETA BLOCKERCARVEDILOL 25MGCARLOC 25MG897117CARVETREND 25MG704672
CARDIOMYOPATHYI42CARDIAC GLYCOSIDESDIGOXIN LANOXIN 0.0625MG735760
CARDIOMYOPATHYI42CARDIAC GLYCOSIDESDIGOXIN LANOXIN 0.25MG735752
CARDIOMYOPATHYI42ANTICOAGULANTWARFARIN 5MG CIPLA-WARFARIN709905
CARDIOMYOPATHYI42BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
CARDIOMYOPATHYI42BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
CARDIOMYOPATHYI42BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
CARDIOMYOPATHYI42BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
CARDIOMYOPATHYI42BETA-BLOCKERSBISOPROLOL 5MGBILOCOR 5MG704372
CARDIOMYOPATHYI42BETA-BLOCKERSBISOPROLOL 10MGBILOCOR 10MG704373
CARDIOMYOPATHYI42BETA-BLOCKERS/DIURETICBISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 2.5MG/6.25MG718082
CARDIOMYOPATHYI42BETA-BLOCKERS/DIURETICBISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 5MG/6.25MG718086
CARDIOMYOPATHYI42DIRECT ACTING VASODILATORSHYDRALAZINE 10MGHYPERPHEN 10MG731714
CARDIOMYOPATHYI42DIRECT ACTING VASODILATORSHYDRALAZINE 50MGHYPERPHEN 50MG731722
CARDIOMYOPATHYI42LOOP DIURETICSFUROSEMIDE 40MGMYLAN FUROSEMIDE 40MG857769SANDOZ FUROSEMIDE 731668
CARDIOMYOPATHYI42LOOP DIURETICSFUROSEMIDE 20MGAUSTELL FUROSEMIDE 20MG 707421
CARDIOMYOPATHYI42NITRATESISOSORBIDE DINITRATE 10MGISORDIL 10MG734381
CARDIOMYOPATHYI42NITRATESISOSORBIDE DINITRATE 30MGISORDIL 30MG734403
CARDIOMYOPATHYI42NITRATESISOSORBIDE DINITRATE 5MGISORDIL 5MG734411
CARDIOMYOPATHYI42NITRATESISOSORBIDE MONONITRATE 20MGISMO 20MG734055
CARDIOMYOPATHYI42PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481MOTIVATION REQUIRED OVER NORMAL ASPIRIN
CARDIOMYOPATHYI42PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
CARDIOMYOPATHYI42POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753IF >120 REQUIRED, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED
CARDIOMYOPATHYI42THIAZIDE DIURETICHYDROCHLORTHIAZIDEHEXAZIDE890470
CARDIOMYOPATHYI42LOW CEILING DIURETICSINDAPAMIDEDYNA-INDAPAMIDE SR 1.5MG716962
CARDIOMYOPATHYI42LOW CEILING DIURETICSINDAPAMIDEMYLAN-INDAPAMIDE 2.5MG703329CIPLA- INDAPAMIDE 2.5MG710313
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSENALAPRIL 10MGALAPREN 10MG881481
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSENALAPRIL 20MGALAPREN 20MG881503
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSENALAPRIL 5MGALAPREN 5MG886835
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHBITOR COMBINATIONSENALAPRIL / HYDROCHLORTHIAZIDEENAP CO891287
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSRAMIPRIL 2.5MGRAMPIL 2.5MG705427
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSRAMIPRIL 5MGRAMPIL 5MG705428
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSRAMIPRIL 10MGRAMPIL10MG705429
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSLISINOPRIL 5MGSINOPREN 5MG700691ZEMAX 5MG703646
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSLISINOPRIL 10MGSINOPREN 10MG700692AUSTELL LISINOPRIL 10MG712598
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSLISINOPRIL 20MGSINOPREN 20MG700694AUSTELL LISINOPRIL 20MG708189
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSLISINOPRIL 10MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 10/12.5MG704597HEXAL-LISINOPRIL CO 10/12.5MG704703
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSLISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 20/12.5MG704598HEXAL-LISINOPRIL CO 20/12.5MG704704
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORS COMBINATIONPERINDOPRIL 2,5MG/INDAPAMIDE 0.625MGPREXUM 2.5 PLUS721507
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSPERINDOPRIL 4MGPREXUM 4MG703541VECTORYL 4MG710297
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSPERINDOPRIL 4MGPREXUM 5MG 720387
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORSPERINDOPRIL 8MGPEARINDA 8MG714528VECTORYL 8MG710925
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORS COMBINATIONSPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 704929VECTORYL PLUS710298
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORS COMBINATIONSPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 5/1.25 MG720388
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITORS COMBINATIONSPERINDOPRIL 4MG/INDAPAMIDE 1.25MGBIOPREXUM PLUS 10/2.5MG721508
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 10MG COVERAM 10/10MG 719853
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 5MG COVERAM 10/5MG 719854
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 10MG COVERAM 5/10MG 719852
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 5MG COVERAM 5/5MG 719855
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19ALDOSTERONE ANTAGONISTSPIRONOLACTONE 25MGSPIRACTIN 25MG765910
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-RECEPTOR BLOCKERSPROPRANOLOL HCL 10MGINDOBLOK 10MG806552
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19BETA-RECEPTOR BLOCKERSPROPRANOLOL HCL 40MGINDOBLOK 40MG806560
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIFEROLCALCIFEROL 5 000U/MLCALCIFEROL OILY SOLUTION 5000U/ML 1000-3000 UNITS DAY711853
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIFEROLCALCIFEROL 50 000IULENNON STRONG CALCIFEROL711640
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERSVERAPAMIL 40MGVASOMIL 40MG774944
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERSVERAPAMIL 80MGVASOMIL 80MG774952
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERSDILTIAZEM 60MGZILDEM 60MG822213
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERS - LONG ACTING VERAPAMIL 240 SRVERAHEXAL 240 SR700071
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 20MGCIPALAT RETARD 20MG864153
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 30MGCIPALAT XR 30MG723283
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 60MGCIPALAT XR 60MG723284
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19CALCIUM SUPPLEMENTSCALCIUM CARBONATE 500MGENO TUMS 703359
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19DIURETIC-THIAZIDEHYDROCHLOROTHIAZIDE 25MG HEXAZIDE890470
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19HAEMATINICSERYTHROPOIETINREPOTIN 2000IU 839264MOTIVATION AND HAEMOGLOBIN LEVELS REQUIRED- FORWARD TO ONECARE /MEDSCHEME
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19HAEMATINICSERYTHROPOIETINREPOTIN 4000IU 839272MOTIVATION AND HAEMOGLOBIN LEVELS REQUIRED- FORWARD TO ONECARE /MEDSCHEME
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19OTHERCALCIUM ACETATE ANHYDROUSPHOSPHOSORB 660MG718735
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19IRON SUPPLEMENTSIRON(III)-HYDROXIDE SUCROSE COMPLEX VENOFER873276MOTIVATION AND HAEMOGLOBIN LEVELS REQUIRED- FORWARD TO ONECARE /MEDSCHEME
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19LOOP DIURETICSFUROSEMIDE 40MGMYLAN FUROSEMIDE 40MG857769SANDOZ FUROSEMIDE 731668
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19LOOP DIURETICSFUROSEMIDE 20MGAUSTELL FUROSEMIDE 20MG 707421
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753IF >120 REQUIRED, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED
CHRONIC RENAL DISEASEN03, N05, N11, N18, N19VITAMINSFOLIC ACID 5MGBE-TABS FOLIC 5MG810967
COPDJ43, J44
COPDJ43, J44CORTICOSTEROIDSPREDNISONE 5MGBE-TABS PREDNISONE 5MG788783
COPDJ43, J44INHALED ANTI CHOLINERGICSIPRATROPIUM BROMIDE 40UGIPVENT-40 300DOSE704681
COPDJ43, J44SYMPATHOMIMETICSSALBUTAMOL 200UGASTHAVENT DP878219CYBUTOL 200UG894397
COPDJ43, J44SYMPATHOMIMETICSSALBUTAMOL 400UGCYBUTOL 400UG894400
COPDJ43, J44SYMPATHOMIMETICSSALBUTAMOL 100UG INHALERASTHAVENT 200DOSE819603VENTEZE 100UG INHALER775363
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT CFC FREE INHALER708289
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT 120 DOSE787302
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL XINAFOATE 50MCGSEREVENT ACCUHALER 60 DOSE818496
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL XINAFOATE 25MCGSEREVENT 60 DOSE791695
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/50MCG 120 DOSE INH715752SEREFLO 25/50MCG SYNCHROBREATHER 120 DOSE INH721412
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/125MCG 120 DOSE INH715753SEREFLO 25/125MCG SYNCHROBREATHER 120 DOSE INH721413
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL FLUTICAZONEFOXAIR 25/250MCG 120 DOSE INH715754SEREFLO 25/250MCG SYNCHOBREATHER 120 DOSE INH721414
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 100UG FOXAIR 50/100MCG 60 BLISTERS715009
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 250UG FOXAIR 50/250MCG 60 BLISTERS715008
COPDJ43, J44SYMPATHOMIMETICSSALMETEROL 50UG/FLUTICASONE 500UG FOXAIR 50/250MCG 60 BLISTERS715007
COPDJ43, J44COMBINATIONSIPRATROPIUM BROMIDE 40MCG/ FENOTEROL 100MCGDUOVENT HFA707882
COPDJ43, J44SYMPATHOMIMETICSFORMOTEROL FUMARATEFORATEC HFA 12MCG 120 DOSE710307
COPDJ43, J44ANTICHOLINERGICSTIOTROPIUM 18MCGFORVENT HANDIHALER 714167MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED. FEV1<50 POST BRONCHODILATOR
COPDJ43, J44ANTICHOLINERGICSTIOTROPIUM 18MCGFORVENT 18MCG INH CAPS REFILL714152MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED. FEV1<50 POST BRONCHODILATOR
COPDJ43, J44GLUCOCORTICOIDSBECLOMETHASONE DIPROPIONATE 100MCGBECLATE 100MCG INHALER819638FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44GLUCOCORTICOIDSBECLOMETHASONE DIPROPIONATE 200MCGBECLATE 200MCG INHALER820083FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 100UGBUDEFLAM HFA 100MCG 300DOSE897462FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 200UGBUDEFLAM HFA 200MCG 300DOSE897469FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 200UGBUDEFLAM DP 200MCG INH CAPS704176FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 200UGPULMICORT TURBOHALER 200MCG 200D791423
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 200UGPULMICORT TURBOHALER 100MCG 200D791431
COPDJ43, J44GLUCOCORTICOIDSBUDESONIDE 400UGPULMICORT TURBOHALER 400MCG 200D823791
COPDJ43, J44METHYLXANTHINETHEOPHYLLINE 200MGSANDOZ THEOPHYLLINE 200MG788368THEOPLUS 200MG783005
COPDJ43, J44METHYLXANTHINETHEOPHYLLINE 300MGSANDOZ THEOPHYLLINE 300MG788376THEOPLUS 300MG783013
COPDJ43, J44COMBINATIONSIPRATROPIUM/SALBUTAMOL 0.5MG/2.5MG PER 2.5MLDUOLIN RESPULES703983MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED. FROM PULMONOGIST OR SPECIALIST PHYSICIAN
COPDJ43, J44POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753FOR LONG TERM ORAL CORTICOSTEROID TREATMENT
CORONARY ARTERY DISEASEI20, I25
CORONARY ARTERY DISEASEI20, I25ANTICOAGULANTWARFARIN 5MG CIPLA-WARFARIN712390
CORONARY ARTERY DISEASEI20, I25BETA BLOCKERPROPRANOLOL 10MGINDOBLOK 10MG806552
CORONARY ARTERY DISEASEI20, I25BETA BLOCKERPROPRANOLOL 40MGINDOBLOK 40MG806560
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERSBISOPROLOL 5MGBILOCOR 5MG704372BISBETA 5MG720659
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERSBISOPROLOL 10MGBILOCOR 10MG704373BISBETA 10MG720660
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERS/DIURETICBISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 2.5MG/6.25MG718082
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERS/DIURETICBISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 5MG/6.25MG718086
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
CORONARY ARTERY DISEASEI20, I25BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
CORONARY ARTERY DISEASEI20, I25ALPHA + BETA BLOCKERCARVEDILOL 12.5MGCARLOC 12.5MG700168CARVETREND 12.5MG704671
CORONARY ARTERY DISEASEI20, I25ALPHA + BETA BLOCKERCARVEDILOL 6.25MGCARLOC 6.25MG705459CARVETREND 6.25MG704670
CORONARY ARTERY DISEASEI20, I25ALPHA + BETA BLOCKERCARVEDILOL 25MGCARLOC 25MG897117CARVETREND 25MG704672
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSAMLODIPINE 10MGGULF AMLODIPINE 10MG712954CIPLAVASC 10MG708152
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSAMLODIPINE 5MGAMTAS 5MG713971LOMANOR 5MG708352
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSVERAPAMIL 240 SRVERAHEXAL 240 SR700071
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSVERAPAMIL 40MGVASOMIL 40MG774944
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSVERAPAMIL 80MGVASOMIL 80MG774952
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 20MGCIPALAT RETARD 20MG864153
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 60MGCIPALAT XR 30MG723283
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSNIFEDIPINE SR 30MGCIPALAT XR 60MG723284
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSDILTIAZEM 60MGZILDEM 60MG822213
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSDILTIAZEM 90MGZILDEM 90MG824364
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSDILTIAZEM SR 180MGZILDEM SR 180MG839183
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSDILTIAZEM SR 240MGZILDEM SR 240MG839191
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSFELODIPINE 10MGFELODIPINE-HEXAL 10MG703902
CORONARY ARTERY DISEASEI20, I25CALCIUM CHANNEL BLOCKERSFELODIPINE 5MGFELODIPINE-HEXAL 5MG703221
CORONARY ARTERY DISEASEI20, I25NITRATESGLYCERYL TRINTARATE 0.5MGANGISED703605
CORONARY ARTERY DISEASEI20, I25NITRATESISOSORBIDE DINITRATE 10MGISORDIL 10MG734381
CORONARY ARTERY DISEASEI20, I25NITRATESISOSORBIDE DINITRATE 30MGISORDIL 30MG734403
CORONARY ARTERY DISEASEI20, I25NITRATESISOSORBIDE DINITRATE 5MGISORDIL 5MG734411
CORONARY ARTERY DISEASEI20, I25NITRATESISOSORBIDE MONONITRATE 20MGISMO 20MG734055
CORONARY ARTERY DISEASEI20, I25NITRATESISOSORBIDE DINITRATE 40MGISORDIL TEMBID 40MG734438
CORONARY ARTERY DISEASEI20, I25PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
CORONARY ARTERY DISEASEI20, I25PLATELET AGGREGATION INHIBITORSASPIRIN 100MGECOTRIN 81MG823481
CORONARY ARTERY DISEASEI20, I25PLATELET AGGREGATION INHIBITORSCLOPIDOGREL 75MGPLAGROL711423DETAILED CLINICAL MOTIVATION REQUIRED WITH STENT TYPES AND DATES AND HISTORY OF THERAPY
CORONARY ARTERY DISEASEI20, I25FIBRATESBEZAFIBRATE 400MGDYNA-BEZAFIBRATE 400MG710122FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA
CORONARY ARTERY DISEASEI20, I25HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 10MGADCO SIMVASTATIN 10MG701276AUSTELL SIMVASTATIN 10MG705464FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA
CORONARY ARTERY DISEASEI20, I25HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 20MGADCO SIMVASTATIN 20MG701279AUSTELL SIMVASTATIN 20MG705465FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA
CORONARY ARTERY DISEASEI20, I25HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 40MGADCO SIMVASTATIN 40MG701281AUSTELL SIMVASTATIN 40MG705467FROM CARDIOLOGIST/SPECIALIST PHYSICIAN .NEED TO BE LOADED UNDER HYPERLIPIDAEMIA
CROHN'S DISEASEK50
CROHN'S DISEASEK505 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN 500MG762008 MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK505 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN EN 500762016 MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50ANTIBIOTICSMETRONIDAZOLE 200MGADCO-METRONIDAZOLE 200MG742872TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50ANTIBIOTICSMETRONIDAZOLE 400MGADCO-METRONIDAZOLE 400MG701076TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50ANTIBIOTICSCIPROFLOXACIN 250MG CIPROL 250MG704777TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50ANTIBIOTICSCIPROFLOXACIN 500MGCIPROL 500MG704775TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50ANTIBIOTICSCIPROFLOXACIN 750MGCIFLOC 750MG893963TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50CORTICOSTEROIDSPREDNISOLONE 5MG LENISOLONE 5MG800155MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50CORTICOSTEROIDSPREDNISONE 5MG BE-TABS PREDNISONE 788783MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50CYTOSTATICMETHOTREXATE 2.5METHOTREXATE 2.5MG742465TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50IMMUNOSUPPRESSIVEAZATHIOPRINE 50MGAZAMUN 50MG701252TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSBUDESONIDE 2.3MGENTOCORD 2,3MG ENEMA824593MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSBUDESONIDE 3MGENTOCORD 3MG CAP838896MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSMESALAZINE [5-AMINOSALICYLIC ACID.] RECTALASACOL 500MG SUPP824135MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSMESALAZINE [5-AMINOSALICYLIC ACID.] RECTALASACOL ENEMA 2GM/50ML824127MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSMESALAZINE [5-AMINOSALICYLIC ACID.] TABASACOL 400MG TAB783668MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSMESALAZINE 500MGPENTASA 500MG TAB890775TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50OTHERSOLSALAZINE SOD 250MGDIPENTUM 250MG CAP792519TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50PRENATAL VITAMINSFOLIC ACIDBE-TABS FOLIC ACID810967TREATMENT TO BE INITIATED BY SPECIALIST
CROHN'S DISEASEK50POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753FOR LONG TERM ORAL CORTICOSTEROID TREATMENT
DIABETES INSIPIDUSE23.2
DIABETES INSIPIDUSE23.2ANTI-DIURETICSDESMOPRESSIN DDAVP INTRANASAL SOL 0.1MG/ML 717746TREATMENT TO BE INITIATED BY SPECIALIST
DIABETES INSIPIDUSE23.2ANTI-DIURETICSDESMOPRESSIN DDAVP NASAL SPRAY 0.1MG/ML 837555TREATMENT TO BE INITIATED BY SPECIALIST
DIABETES INSIPIDUSE23.2ANTI-DIURETICSDESMOPRESSIN TABDDAVP 0.1MG837563TREATMENT TO BE INITIATED BY SPECIALIST
DIABETES INSIPIDUSE23.2ANTI-DIURETICSDESMOPRESSIN TABDDAVP 0.2MG703639TREATMENT TO BE INITIATED BY SPECIALIST
DIABETES MELLITUS TYPE 1E10
DIABETES MELLITUS TYPE 1E10ANTI-HYPOGLYCAEMIC AGENTINJECTIONGLUCAGEN - HYPOKIT821365
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESLANCETSACCU-CHECK PRO LANCETS616091
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESLANCETSACCU-CHECK SOFTCLIX LANCETS616102
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESLANCETSMICROLET LANCETS508771
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESNEEDLESNOVOFINE NEEDLES458317
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESNEEDLESBD MICROFINE NEEDLES463822
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSACCU-CHECK ADVANTAGE STRIP891500
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSACCUTREND GLUCOSE STRIPS 831743
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSASCENSIA ELITE TS (GLUCOMETER)811394
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSASCENSIA ENTRUST TEST STRIPS701260
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSASCENSIA GLUCODI ESPRIT 890752
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSGLUCOSTIX COASTAL831980
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSGLUCOSTIX HIGH ALTITUDE831999
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSHAEMO-GLUCOTEST832014
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSKETO-DIASTIX 50'S832203
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSMEDISENSE OPTIMUM PLUS892998
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSMEDISENSE PRECISION PLUS ELECTRODES847887
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSONE TOUCH ULTRA TEST STRIPS702690
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSONE TOUCH HORIZON TEST STRIPS704130
DIABETES MELLITUS TYPE 1E10DIABETIC CONSUMABLESSTRIPSHOMEMED BLOOD GLUCOSE STRIPS460628
DIABETES MELLITUS TYPE 1E10INSULINBIPHASIC INSULININSU ACTAPHANE HM(GE) 3.0ML PENSET816213
DIABETES MELLITUS TYPE 1E10INSULINBIPHASIC INSULININSU ACTRAPHANE HM(GE) 10ML VIAL733512
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULININSU APIDRA 3.0ML CARTRIDGE706039MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULININSU APIDRA I OPTISET PENSET 3ML710367MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULININSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML709861MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULININSU APIDRA 10ML VIAL706040MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULINNOVORAPID FLEXPEN 3ML PREFILLED DEVICE PENSET897767
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULINNOVORAPID FLEXPEN 3ML SOLUTION FOR INJ. PENFILL 897775
DIABETES MELLITUS TYPE 1E10INSULINFAST ACTING INSULINNOVORAPID VIAL 10ML707927
DIABETES MELLITUS TYPE 1E10INSULININSULINNOVOMIX 30 FLEXPEN 3ML PF DEVICE702086
DIABETES MELLITUS TYPE 1E10INSULININSULINNOVOMIX 30 PENFILL 3ML PF DEVICE702089
DIABETES MELLITUS TYPE 1E10INSULININSULIN - RAPID ACTINGINSULIN HUMALOG 10ML VIAL819468
DIABETES MELLITUS TYPE 1E10INSULININSULIN - RAPID ACTINGINSULIN HUMALOG CARTRIDGE 3ML862355
DIABETES MELLITUS TYPE 1E10INSULININSULIN - RAPID ACTINGINSULIN HUMALOG PEN 3ML DISPOSABLE853445
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICINSULIN HUMALOG MIX 25 10ML VIAL853437
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICINSULIN HUMALOG MIX 25 CARTRIDGE 3 ML861782
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICINSULIN HUMALOG MIX 25 DISP PEN 3 ML853461
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICINSULIN HUMALOG MIX 50 CARTRIDGE 3ML705074
DIABETES MELLITUS TYPE 1E10INSULININSULIN GLARGINE LANTUS - 10ML VIAL700310MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULININSULIN GLARGINE OPTISULIN CARTRIDGE 100IU/ML723474BASAGLAR CARTRIDGE 100IU/ML722456MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULININSULIN GLARGINE OPTISULIN PEN 100 IU/ML721502BASAGLAR PEN 100IU/ML722454MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULININSULIN DETEMIRLEVEMIR FLEXPEN PREFILLED 3ML705312MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULININSULIN DETEMIRLEVEMIR PREFILLED CARTRIDGE 3ML705313MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 1E10INSULININSULIN ISOPHANE - INTERMEDIATEHUMULIN – N VIAL 10ML733458
DIABETES MELLITUS TYPE 1E10INSULININSULIN ISOPHANE - INTERMEDIATEBIOSULIN N 3ML CART712768
DIABETES MELLITUS TYPE 1E10INSULININSULIN ISOPHANE - INTERMEDIATEINSULIN HUMULIN N PEN 3ML DISPOSABLE853453
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICHUMULIN 30/70 10ML VIAL783811
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICBIOSULIN 30/70 3ML CART712770
DIABETES MELLITUS TYPE 1E10INSULININSULIN PREMIXED BIPHASICHUMULIN 30/70 DISPOSABLE PENS 3ML704456
DIABETES MELLITUS TYPE 1E10INSULININSULIN - SHORT ACTINGHUMULIN – R 10ML VIAL733431
DIABETES MELLITUS TYPE 1E10INSULININSULIN - SHORT ACTINGBIOSULIN R 3ML CARTRIDGE712767
DIABETES MELLITUS TYPE 1E10INSULININTERMEDIATE TO LONG ACTING INSULININSU PROTAPHANE FLEXPEN 3ML PF DEVICE700183
DIABETES MELLITUS TYPE 1E10INSULININTERMEDIATE TO LONG ACTING INSULININSU PROTAPHANE HM(GE) 10ML VIAL733482
DIABETES MELLITUS TYPE 1E10PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
DIABETES MELLITUS TYPE 1E10PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481
DIABETES MELLITUS TYPE 2E11.9
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 850 MG ACCORD METFORMIN 850MG714426DIAPHAGE 850MG719785
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 500MGACCORD METFORMIN 500MG714427DIAPHAGE 500MG719784
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 1000MGBIGSENS 1000MG709172MYLAN METFORMIN 1000MG721443
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 500MGGLUCOPHAGE XR 500MG 710196
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 500MGGLUCOPHAGE XR 500MG 710196
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 750MGGLUCOPHAGE XR 750MG 720925
DIABETES MELLITUS TYPE 2E11.9BIGUANIDESMETFORMIN 1000MGGLUCOPHAGE XR 1000MG 720926
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLIBENCLAMIDE 5MGBIO-GLIBENCLAMIDE827053
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLIMEPIRIDE 1MGMYLAN GLIMEPIRIDE 1MG709984SULPHONUR 1MG710904
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLIMEPIRIDE 2MGMYLAN GLIMEPIRIDE 2MG709985SULPHONUR 2MG710905
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLIMEPIRIDE 4MGAUSTELL GLIMEPIRIDE 4MG717078SULPHONUR 4MG710906
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLICLAZIDE 30MG MRDIAGLUCIDE 30MG MR714582
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLICLAZIDE 60MG MRDIAGLUCIDE 60MG MR 718247
DIABETES MELLITUS TYPE 2E11.9SULPHONYLUREASGLICLAZIDE 80MGSANDOZ GLICLAZIDE 80MG834866
DIABETES MELLITUS TYPE 2E11.9THIAZOLIDINEDIONESPIOGLITAZONECIPLA PIOGLITAZONE 30MG707981MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 2E11.9THIAZOLIDINEDIONESPIOGLITAZONECIPLA PIOGLITAZONE 15MG707974MOTIVATION REQUIRED WITH TREATMENT HISTORY
DIABETES MELLITUS TYPE 2E11.9PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
DIABETES MELLITUS TYPE 2E11.9PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481
DYSRHYTHMIAI47, I48
DYSRHYTHMIAI47, I48ANTI-ARRHYTHMICAMIODARONE 100MGHEXARONE 100MG 863157TREATMENT TO BE INITIATED BY SPECIALIST
DYSRHYTHMIAI47, I48ANTI-ARRHYTHMICAMIODARONE 200MGBIO-AMIODARONE 200MG707851TREATMENT TO BE INITIATED BY SPECIALIST
DYSRHYTHMIAI47, I48CARDIAC GLYCOSIDESDIGOXINLANOXIN 0.0625MG735760
DYSRHYTHMIAI47, I48CARDIAC GLYCOSIDESDIGOXIN LANOXIN 0.25MG735752
DYSRHYTHMIAI47, I48ANTICOAGULANTWARFARIN 5MG CIPLA-WARFARIN712390
DYSRHYTHMIAI47, I48BETA-BLOCKERSSOTALOL 160MGSOTAHEXAL 160MG828009TREATMENT TO BE INITIATED BY SPECIALIST
DYSRHYTHMIAI47, I48BETA-BLOCKERSSOTALOL 80MGSOTAHEXAL 80MG827991TREATMENT TO BE INITIATED BY SPECIALIST
DYSRHYTHMIAI47, I48BETA-BLOCKERSPROPRANOLOL 10MGINDOBLOK 10MG806552
DYSRHYTHMIAI47, I48BETA-BLOCKERSPROPRANOLOL 40MGINDOBLOK 40MG806560
DYSRHYTHMIAI47, I48BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
DYSRHYTHMIAI47, I48BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
DYSRHYTHMIAI47, I48BETA-BLOCKERSBISOPROLOL 5MGBILOCOR 5MG704372
DYSRHYTHMIAI47, I48BETA-BLOCKERSBISOPROLOL 10MGBILOCOR 10MG704373
DYSRHYTHMIAI47, I48BETA-BLOCKERS/DIURETICBISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 2.5MG/6.25MG718082
DYSRHYTHMIAI47, I48BETA-BLOCKERS/DIURETICBISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 5MG/6.25MG718086
DYSRHYTHMIAI47, I48BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
DYSRHYTHMIAI47, I48BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
DYSRHYTHMIAI47, I48CALCIUM CHANNEL BLOCKERSVERAPAMIL 240 SRVERAHEXAL 240 SR700071
DYSRHYTHMIAI47, I48CALCIUM CHANNEL BLOCKERSVERAPAMIL 40MGVASOMIL 40MG774944
DYSRHYTHMIAI47, I48CALCIUM CHANNEL BLOCKERSVERAPAMIL 80MGVASOMIL 80MG774952
DYSRHYTHMIAI47, I48ALPHA + BETA BLOCKERCARVEDILOL 12.5MGCARLOC 12.5MG700168CARVETREND 12.5MG704671
DYSRHYTHMIAI47, I48ALPHA + BETA BLOCKERCARVEDILOL 6.25MGCARLOC 6.25MG705459CARVETREND 6.25MG704670
DYSRHYTHMIAI47, I48ALPHA + BETA BLOCKERCARVEDILOL 25MGCARLOC 25MG897117CARVETREND 25MG704672
DYSRHYTHMIAI47, I48PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
DYSRHYTHMIAI47, I48PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481
EPILEPSYG40, G41
EPILEPSYG40, G41ANTI-EPILEPTICVALPROIC ACID 150MGCONVULEX 150MG715980
EPILEPSYG40, G41ANTI-EPILEPTICVALPROIC ACID 300MGCONVULEX 300MG715999
EPILEPSYG40, G41ANTI-EPILEPTICVALPROIC ACID 500MGCONVULEX 500MG781568
EPILEPSYG40, G41ANTI-EPILEPTICVALPROIC ACID 250MG/ 5MLCONVULEX SUSPENSION781541
EPILEPSYG40, G41ANTI-EPILEPTICPHENYTOIN 100MGEPANUTIN 100MG723525
EPILEPSYG40, G41ANTI-EPILEPTICPHENYTOIN 125MG/5ML SUSPEPANUTIN 125MG/5ML723533
EPILEPSYG40, G41ANTI-EPILEPTICSODIUM VALPROATE 100MGEPILIM CRUSHABLE 100MG821578
EPILEPSYG40, G41ANTI-EPILEPTICSODIUM VALPROATE 200MGEPROLEP CR 200MG721460NAVALPRO CR 200MG718465
EPILEPSYG40, G41ANTI-EPILEPTICSODIUM VALPROATE 300MGEPROLEP CR 300MG720762NAVALPRO CR 300MG718466
EPILEPSYG40, G41ANTI-EPILEPTICSODIUM VALPROATE 500MGEPROLEP CR 500MG721055NAVALPRO CR 500MG718468
EPILEPSYG40, G41ANTI-EPILEPTICSODIUM VALPROATE 200MG/5MLEPILIM SUGAR FREE780545
EPILEPSYG40, G41ANTI-EPILEPTICLAMOTRIGINE 25MGEPITEC 25MG TABS704379
EPILEPSYG40, G41ANTI-EPILEPTICLAMOTRIGINE 50MGLAMIDUS 50MG 710885EPITEC 50MG TABS704380
EPILEPSYG40, G41ANTI-EPILEPTICLAMOTRIGINE 100MGLAMIDUS 100MG710887EPITEC 100MG TABS704381
EPILEPSYG40, G41ANTI-EPILEPTICLAMOTRIGINE 200MGLAMIDUS 200MG710888EPITEC 200MG TABS704382
EPILEPSYG40, G41ANTI-EPILEPTICPHENOBARBITONE 30MGSEDABARB 30MG814946
EPILEPSYG40, G41ANTI-EPILEPTICPHENYTOIN 100MGPHENYTOIN SOD754870
EPILEPSYG40, G41ANTI-EPILEPTICCLONAZEPAMRIVOTRIL 0.5MG761079SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICCLONAZEPAMRIVOTRIL 2.5MG/ML DROPS835129SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICCLONAZEPAMRIVOTRIL 2MG761087 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICCARBAMAZEPINE 100MG/ 5MLTEGRETOL SUSP 250ML769401
EPILEPSYG40, G41ANTI-EPILEPTICCARBAMAZEPINE 200MGDEGRANOL 200MG712493
EPILEPSYG40, G41ANTI-EPILEPTICCARBAMAZEPINE 200MGSANDOZ CARBAMAZEPINE CR705597
EPILEPSYG40, G41ANTI-EPILEPTICCARBAMAZEPINE 400MGSANDOZ CARBAMAZEPINE CR705602
EPILEPSYG40, G41ANTI-EPILEPTICTOPIRAMATE 25MGEPITOZ 25MG710899SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICTOPIRAMATE 50MGEPITOZ 50MG710900SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICTOPIRAMATE 100MGEPITOZ 100MG719901SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICOXCARBAZEPINE 300MGTRILEPTAL 300MG892484SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICOXCARBAZEPINE 600MGTRILEPTAL 600MG892491SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41ANTI-EPILEPTICETHOSUXIMIDE 250MG/5MLZARONTIN 250MG/5ML SYRUP779105SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE AGENTS.MOTIVATION REQUIRED - TREATMENT TO BE INITIATED BY SPECIALIST
EPILEPSYG40, G41PRENATAL VITAMINSFOLIC ACIDBE-TABS FOLIC ACID810967
GLAUCOMAH40
GLAUCOMAH40OPTHALMICS -ALPHA-2-AGONISTBRIMONIDINE TARTRATEALPHAGAN PURITE 5ML 709410
GLAUCOMAH40CARBONIC ANHYDRASE INHIBITORSACETAZOLAMIDEAZOMID 250MG789771
GLAUCOMAH40CARBONIC ANHYDRASE INHIBITORSBRINZOLAMIDEAZOPTIC EYE SUSPENSION 1%701523
GLAUCOMAH40OPTHALMICS -BETA-BLOCKERSTIMOLOL 5MG/MLGLAUCOSAN 0.5%821624
GLAUCOMAH40OPTHALMICS -BETA-BLOCKERSTIMOLOL 2.5MG/MLTIMOPTOL 0.25%770833
GLAUCOMAH40OPTHALMICS -BETA-BLOCKERS COMBINATIONDORZOLAMIDE 20MG; TIMOLOL 5MG/MLCOSOPT 0.5% 5ML DRP860379
GLAUCOMAH40OPTHALMICS -BETA-BLOCKERS COMBINATIONBRINZOLAMIDE 10MG; TIMOLOL 5MG/MLAZARGA 5ML 717260
GLAUCOMAH40OPTHALMICS -BETA-BLOCKERS COMBINATIONBIMATOPOST 0.3MG; TIMOLOL 5MG/MLGANFORT 3ML714110
GLAUCOMAH40OPTHALMICS -CARBONIC ANHYDRASE INHIBITORDORZOLAMIDE 20MGTRUSOPT SOLUTION819832
GLAUCOMAH40OPTHALMICS-PROSTAGLANDIN ANALOGUE TRAVOPROST 40UG/MLTRAVATAN EYE DROP SOLUTION702534MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
GLAUCOMAH40OPTHALMICS-PROSTAGLANDIN ANALOGUE LANTANOPROST/TIMOLOLXALACOM702983CO-ATANA 2.5ML 722712
GLAUCOMAH40OPTHALMICS-PROSTAGLANDIN ANALOGUE LANTANOPROST 1ML/50MCGXALATAN833223ATANA 50MCG/ML720971MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
GLAUCOMAH40OPTHALMICS-PROSTAGLANDIN ANALOGUE BIMATROPOST 0.3MG/MLLUMIGAN 3ML703666MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
GLAUCOMAH40OPHTHALMIC - MUSCARINIC AGONISTSPILOCARPINE 10MG/MLISOPTOCARPINE 1% - 15ML734284
GLAUCOMAH40OPHTHALMIC - MUSCARINIC AGONISTSPILOCARPINE 20MG/MLISOPTOCARPINE 2%- 15ML734179
GLAUCOMAH40OPHTHALMIC - MUSCARINIC AGONISTSPILOCARPINE 40MG/MLISOPTOCARPINE 4% - 15ML734195
HAEMOPHILIAD66, D67
HAEMOPHILIAD66, D67ANTI-DIURETICSDESMOPRESSIN DDAVP INTRANASAL SOL 0.1MG/ML 717746TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67ANTI-DIURETICSDESMOPRESSIN DDAVP NASAL SPRAY 0.1MG/ML 837555 TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67ANTI-DIURETICSDESMOPRESSIN DDAVP 0.2MG703639TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67ANTI-DIURETICSDESMOPRESSIN DDAVP 0.1MG837563TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67COAGULANTSTRANEXAMIC ACID 500MGCYKLOKAPRON 500717134TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67COAGULANTSFACTOR VIII 300UHAEMOSOLVATE® FACTOR VIII841560 TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67COAGULANTSFACTOR VIII 500UHAEMOSOLVATE® FACTOR VIII800759TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67COAGULANTSFACTOR VIII 1000UHAEMOSOLVATE® FACTOR VIII813648TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HAEMOPHILIAD66, D67COAGULANTSFACTOR IX 500UHAEMOSOLVEX® FACTOR IX800767 TREATMENT TO BE INITIATED BY SPECIALIST HAEMATOLOGIST
HYPERLIPIDAEMIAE78
HYPERLIPIDAEMIAE78FIBRATESBEZAFIBRATE 400MGDYNA-BEZAFIBRATE SR 400MG710122
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 10MGADCO SIMVASTATIN 10MG701276AUSTELL SIMVASTATIN 10MG705464
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 20MGADCO SIMVASTATIN 20MG701279AUSTELL SIMVASTATIN 20MG705465
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)SIMVASTATIN 40MGADCO SIMVASTATIN 40MG701281AUSTELL SIMVASTATIN 40MG705467
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)ATORVASTATIN 10MGASPAVOR 10MG708121ADCO ATORVASTATIN 10MG718073CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)ATORVASTATIN 20MGASPAVOR 20MG708122ADCO ATORVASTATIN 20MG718074CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)ATORVASTATIN 40MGASTOR 40MG 719187ADCO ATORVASTATIN 40MG718075CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED
HYPERLIPIDAEMIAE78HMG-COA REDUCTASE INHIBITORS (STATINS)ATORVASTATIN 80MGLIPOGEN 80MG714074ASTOR 80MG 719189CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED
HYPERLIPIDAEMIAE78PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
HYPERLIPIDAEMIAE78PLATELET AGGREGATION INHIBITORSASPIRIN 81MGECOTRIN 81MG823481
HYPERTENSIONI10
HYPERTENSIONI10ACE INHIBITORSCAPTOPRIL 25MGMYLAN-CAPTOPRIL 25MG852619
HYPERTENSIONI10ACE INHIBITORSCAPTOPRIL 50MGMYLAN-CAPTOPRIL 50MG899429
HYPERTENSIONI10ACE INHIBITORS COMBINATIONCAPTOPRIL/HYDROCHLOROTHIAZIDE 50MG/25MGCAPTORETIC 50/25MG841137
HYPERTENSIONI10ACE INHIBITORSENALAPRIL 10MGALAPREN 10MG881481
HYPERTENSIONI10ACE INHIBITORSENALAPRIL 20MGALAPREN 20MG881503
HYPERTENSIONI10ACE INHIBITORSENALAPRIL 5MGALAPREN 5MG886835
HYPERTENSIONI10ACE INHIBITORS COMBINATIONENALAPRIL / HYDROCHLORTHIAZIDEENAP CO891287
HYPERTENSIONI10ACE INHIBITORSRAMIPRIL 2.5MGRAMPIL 2.5MG705427
HYPERTENSIONI10ACE INHIBITORSRAMIPRIL 5MGRAMPIL 5MG705428
HYPERTENSIONI10ACE INHIBITORSRAMIPRIL 10MGRAMPIL10MG705429
HYPERTENSIONI10ACE INHIBITORSPERINDOPRIL 4MGPREXUM 4MG703541VECTORYL 4MG710297
HYPERTENSIONI10ACE INHIBITORSPERINDOPRIL 4MGPREXUM 5MG 720387
HYPERTENSIONI10ACE INHIBITORSPERINDOPRIL 8MGPEARINDA 8MG714528VECTORYL 8MG710925
HYPERTENSIONI10ACE INHIBITORS COMBINATIONPERINDOPRIL 2,5MG/INDAPAMIDE 0.625MGPREXUM 2.5 PLUS721507
HYPERTENSIONI10ACE INHIBITORS COMBINATIONPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 704929VECTORYL PLUS710298
HYPERTENSIONI10ACE INHIBITORS COMBINATIONPERINDOPRIL 4MG/INDAPAMIDE 1.25MGPREXUM PLUS 5/1.25 MG720388
HYPERTENSIONI10ACE INHIBITORS COMBINATIONPERINDOPRIL 10MG/INDAPAMIDE 2.5MGBIOPREXUM PLUS 10/2.5MG721508
HYPERTENSIONI10ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 10MG COVERAM 10/10MG 719853
HYPERTENSIONI10ACE INHIBITOR COMBINATIONSPERINDOPRIL 10MG/AMLODIPINE 5MG COVERAM 10/5MG 719854
HYPERTENSIONI10ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 10MG COVERAM 5/10MG 719852
HYPERTENSIONI10ACE INHIBITOR COMBINATIONSPERINDOPRIL 5MG/AMLODIPINE 5MG COVERAM 5/5MG 719855
HYPERTENSIONI10ACE INHIBITORSLISINOPRIL 5MGSINOPREN 5MG700691ZEMAX 5MG703646
HYPERTENSIONI10ACE INHIBITORSLISINOPRIL 10MGSINOPREN 10MG700692AUSTELL LISINOPRIL 10MG712598
HYPERTENSIONI10ACE INHIBITORSLISINOPRIL 20MGSINOPREN 20MG700694AUSTELL LISINOPRIL 20MG708189
HYPERTENSIONI10ACE INHIBITORSLISINOPRIL 10MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 10/12.5MG704597HEXAL-LISINOPRIL CO 10/12.5MG704703
HYPERTENSIONI10ACE INHIBITORSLISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12.5MGADCO ZETOMAX-CO 20/12.5MG704598HEXAL-LISINOPRIL CO 20/12.5MG704704
HYPERTENSIONI10ALPHA + BETA BLOCKERCARVEDILOL 12.5MGCARLOC 12.5MG700168CARVETREND 12.5MG704671
HYPERTENSIONI10ALPHA + BETA BLOCKERCARVEDILOL 6.25MGCARLOC 6.25MG705459CARVETREND 6.25MG704670
HYPERTENSIONI10ALPHA + BETA BLOCKERCARVEDILOL 25MGCARLOC 25MG897117CARVETREND 25MG704672
HYPERTENSIONI10ALPHA RECEPTOR BLOCKERSPRAZOSIN 1MGPRATSIOL 1MG782122 MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10ALPHA RECEPTOR BLOCKERSPRAZOSIN 2MGPRATSIOL 2MG782130MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10ALPHA RECEPTOR BLOCKERSPRAZOSIN 5MGPRATSIOL 5MG782149MOTIVATION, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10BETA-BLOCKERSPROPRANOLOL 10MGINDOBLOK 10MG806552
HYPERTENSIONI10BETA-BLOCKERSPROPRANOLOL 40MGINDOBLOK 40MG806560
HYPERTENSIONI10BETA-BLOCKERSBISOPROLOL 5MGBILOCOR 5MG704372BISBETA 5MG720659
HYPERTENSIONI10BETA-BLOCKERSBISOPROLOL 10MGBILOCOR 10MG704373BISBETA 10MG720660
HYPERTENSIONI10BETA-BLOCKERS/DIURETICBISOPROLOL 2.5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 2.5MG/6.25MG718082
HYPERTENSIONI10BETA-BLOCKERS/DIURETICBISOPROLOL 5MG/HYDROCHLOROTHIAZIDE 6.25MGBISOZYD CO 5MG/6.25MG718086
HYPERTENSIONI10BETA-BLOCKERSATENOLOL 50MGTENOPRESS 50MG705874BIO-ATENOLOL 50MG826898
HYPERTENSIONI10BETA-BLOCKERSATENOLOL 100MGTENOPRESS 100MG 705873BIO-ATENOLOL 100MG826901
HYPERTENSIONI10BETA-BLOCKERS/DIURETICATENOLOL 100MG/CHLORTHALIDONE 25MGTENCHLOR786217
HYPERTENSIONI10BETA-BLOCKERS/DIURETICATENOLOL 50MG/CHLORTHALIDONE 12.5MGTENCHLOR-HS807591
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERAMLODIPINE 10MGGULF AMLODIPINE 10MG712954LOMANOR 10MG 708353
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERAMLODIPINE 5MGAMTAS 5MG713971LOMANOR 5MG708352
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERDILTIAZEM 60MGZILDEM 60MG822213
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERDILTIAZEM 90MGZILDEM 90MG824364
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERDILTIAZEM SR 180MGZILDEM SR 180MG839183
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERDILTIAZEM SR 240MGZILDEM SR 240MG839191
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERFELODOPINE 5MGHEXAL-FELODOPINE 5MG703221
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERFELODOPINE 10MGHEXAL-FELODOPINE 10MG703902
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERS - LONG ACTING VERAPAMIL 240 SRVERAHEXAL 240 SR700071
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERSVERAPAMIL 40MGVASOMIL 40MG774944
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERS VERAPAMIL 80MGVASOMIL 80MG774952
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 20MGCIPALAT RETARD 20MG864153
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 30MGCIPALAT XR 30MG723283
HYPERTENSIONI10CALCIUM CHANNEL BLOCKERS - LONG ACTING NIFEDIPINE SR 60MGCIPALAT XR 60MG723284
HYPERTENSIONI10CENTRAL ALPHA-2 AGONISTMETHYLDOPA 250HY-PO-TONE 250MG732052
HYPERTENSIONI10ALDOSTERONE ANTAGONISTSPIRONOLACTONE 25MGSPIRACTIN 25MG765910
HYPERTENSIONI10LOW CEILING DIURETICSINDAPAMIDEMYLAN-INDAPAMIDE 2.5MG703329CIPLA- INDAPAMIDE 2.5MG710313
HYPERTENSIONI10LOW CEILING DIURETICSINDAPAMIDEDYNA-INDAPAMIDE SR 1.5MG716962
HYPERTENSIONI10DIURETIC - LOOPFUROSEMIDE 40MGMYLAN FUROSEMIDE 40MG857769SANDOZ FUROSEMIDE 731668
HYPERTENSIONI10LOOP DIURETICSFUROSEMIDE 20MGAUSTELL FUROSEMIDE 20MG 707421
HYPERTENSIONI10DIURETIC-THIAZIDEHYDROCHLORTHIAZIDE /AMILORIDE 25/2.5MGAMILORETIC HS702811
HYPERTENSIONI10DIURETIC-THIAZIDEHYDROCHLORTHIAZIDE /TRIAMTERENE 25/50RENEZIDE780146
HYPERTENSIONI10DIURETIC-THIAZIDEHYDROCHLOROTHIAZIDE 25MGHEXAZIDE890470
HYPERTENSIONI10DIURETIC-THIAZIDEHYDROCHLORTHIAZIDE/AMILORIDE 50/5MGSPEC -CO - AMILORIDE706531
HYPERTENSIONI10DIURETIC-THIAZIDE/K COMBINATIONHYDROCHLORTHIAZIDE 50MG / POTASSIUM 600MGURIREX K774057
HYPERTENSIONI10DIRECT VASODILATORHYDRALAZINE 10MGHYPERPHEN 10MG731714
HYPERTENSIONI10DIRECT VASODILATORHYDRALAZINE 50MGHYPERPHEN 50MG731722
HYPERTENSIONI10POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753IF >120 REQUIRED, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED
HYPERTENSIONI10ANGIOTENSIN RECEPTOR ANTAGONISTSLOSARTAN 50MGCIPLAZAR 50MG716643MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10ANGIOTENSIN RECEPTOR ANTAGONISTSLOSARTAN 100MGCIPLAZAR 100MG716644MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10ARB COMBINATIONSLOSARTAN 100MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 100/25MG715857MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10ARB COMBINATIONSLOSARTAN 50MG/ HYDROCHLOROTHIZIDE 25MGLOSAAR PLUS 50/12.5MG715856MOTIVATION OVER ACE-INHIBITOR, INCLUDING HISTORY OF THERAPY, REQUIRED
HYPERTENSIONI10SYMPATHETIC NERVOUS BLOCKERSRESERPINE 0.25MGRESERPINE 0.25MG760048
HYPERTENSIONI10PLATELET AGGREGATION INHIBITORSASPIRIN 100MGMYOPRIN845590BAYER ASPIRIN CARDIO 100MG862304
HYPERTENSIONI10PLATELET AGGREGATION INHIBITORSASPIRIN ECOTRIN 81MG823481
HYPOTHYROIDISME03
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 100MCGEUTHYROX 100MCG 713169
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 50MCGEUTHYROX 50MCG 713168
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 25MCGEUTHYROX 25MCG 713172
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 200MCGELTROXIN 200MCG723172
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 100MCGELTROXIN 100MCG723171ELTROXIN 100MCG722952
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 75MCGELTROXIN 75MCG723170
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 50MCGELTROXIN 50MCG723168ELTROXIN 50MCG722944
HYPOTHYROIDISME03THYROID PREPARATION LEVOTHYROXINE 25MCGELTROXIN 25MCG723167
HYPOTHYROIDISME03THYROID PREPARATION LIOTHYRONINE SODIUM 20MCGTERTROXIN769983
MULTIPLE SCLEROSISG35
MULTIPLE SCLEROSISG35ANTI-EPILEPTICCARBAMAZEPINE 200MGDEGRANOL 200MG712493TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35ANTICHOLINERGICSOXYBUTININ 5MG LENDITRO 5MG872253TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35ANALGESICSPARACETAMOL 500MGNAPAMOL745723TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35CYTOSTATICMETHOTREXATE 2.5MGMETHOTREXATE 2.5MG742465TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35CYTOSTATICAZATHIOPRINE 50MGAZAMUN 50MG701252TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35CORTICOSTEROIDSPREDNISOLONE 5MG LENISOLONE 5MG800155TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35CORTICOSTEROIDSPREDNISONE 5MGBE-TABS PREDNISONE 788783TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753
MULTIPLE SCLEROSISG35IMMUNOSUPPRESSANTSCYCLOPHOSPHAMIDE ENDOXAN 50MG723274TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35MUSCLE RELAXANTSBACLOFEN 10TEVA-BACLOFEN 10MG712607TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35NSAID'SNAPROXEN 250MGNAPFLAM 250MG806447TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35NSAID'SNAPROXEN 500MGNAPFLAM 500MG808474TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35NSAID'SDICLOFENAC SOD. 25MG TABPANAMOR 25MG752371TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35NSAID'SDICLOFENAC SOD. 50MG TABPANAMOR 50MG752398TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35NSAID'SDICLOFENAC SOD. 100MGPANAMOR SR827592TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 25MG TREPILINE 25MG771996GULF AMITRIPRYLINE718746TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35SSRIFLUOXETINE 20MGDEPROZAN894303TREATMENT TO BE INITIATED BY SPECIALIST
MULTIPLE SCLEROSISG35PRENATAL VITAMINSFOLIC ACIDBE-TABS FOLIC ACID810967
MULTIPLE SCLEROSISG35IMMUNOSTIMULANTSINTEFERON BETA-1AREBIF 44MCG/0.5ML890887TO BE REVIEWED FROM SPECIALISED DRUG BENEFIT - SPECIALIST PHYSICIAN/NEUROLOGIST MUST PROVIDE EDSS, RELAPSING-REMITTING HISTORY AND NUMBER OF RELAPSES
MULTIPLE SCLEROSISG35IMMUNOSTIMULANTSINTEFERON BETA-1AREBIF 22MCG/0.5ML898891TO BE REVIEWED FROM SPECIALISED DRUG BENEFIT - SPECIALIST PHYSICIAN/NEUROLOGIST MUST PROVIDE EDSS, RELAPSING-REMITTING HISTORY AND NUMBER OF RELAPSES
PARKINSON'SG20, G21
PARKINSON'SG20, G21CENTRAL MUSCARINIC BLOCKERSBIPERIDEN 2.5MGLENNON - BIPERIDEN713209 TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21BETA-BLOCKERSPROPRANOLOL 10MGINDOBLOK 10MG806552TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21BETA-BLOCKERSPROPRANOLOL 40MGINDOBLOK 40MG806560TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSROPINIROLE 0.25MGRESURE 0.25MG715081TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSROPINIROLE 0.5MGRESURE 0.5MG715082TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSROPINIROLE 1MGRESURE 1MG715083TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSROPINIROLE 2MGRESURE 2MG715084TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSROPINIROLE 5MGRESURE 5MG715085TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21DOPAMINE AGONISTSAMANTADINE 100MGSYMADIN 700500TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21LEVODOPA + DOPAMINE DECARBOXYLASE INHIBITORSLEVODOPA/CARBIDOPA 100/25MG TEVA CARBILEVO 100/25MG710286SINEMET 25MG/100MG764078TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21LEVODOPA + DOPAMINE DECARBOXYLASE INHIBITORSLEVODOPA/CARBIDOPA 250/25MG TEVA CARBILEVO 250/25MG710468SINEMET 25MG/250MG764086TREATMENT TO BE INITIATED BY SPECIALIST
PARKINSON'SG20, G21ANTI-CHOLINERGICORPHENADRINE 50MGDISIPAL 50MG720542TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08
RHEUMATOID ARTHRITISM05, M06, M08ANALGESICSPARACETAMOL 500MGNAPAMOL 500MG745723TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M085 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN 500MG762008TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M085 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN EN 500762016TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08CORTICOSTEROIDSPREDNISOLONE 5MGLENISOLONE 5MG800155TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08CORTICOSTEROIDSPREDNISONE 5MG BE-TABS PREDNISONE 788783TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753
RHEUMATOID ARTHRITISM05, M06, M08CYTOSTATICMETHOTREXATE 2.5METHOTREXATE 2.5MG742465TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08CYTOSTATICSCYCLOPHOSPHAMIDE 50MGENDOXAN 50MG723274MOTIVATION BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08IMMUNOSUPPRESSIVEAZATHIOPRINE 50MGAZAMUN 50MG701252TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08IMMUNOSUPPRESSIVECHLOROQUINE 200MGPLASMOQUINE 200MG794333TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SINDOMETHACIN 100MGARTHREXIN 100MG SUPP.704741MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SINDOMETHACIN 25MGBETACIN 25MG787833ARTHREXIN 25MG704725MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SIBUPROFEN 200MGRANFEN 200MG824852MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SIBUPROFEN 400MGRANFEN 400MG701654MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SIBUPROFEN 600MGSANDOZ IBUPROFEN 600 MG782807MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08SELECTIVE COX II INHIBITORSMELOXICAM 15MGFLEXOCAM 15MG704828ARROW MELOXICAM 15MG711325MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08SELECTIVE COX II INHIBITORSMELOXICAM 7.5MGFLEXOCAM 7.5MG704829ARROW MELOXICAM 7.5MG711324MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SNAPROXEN 250MGNAPFLAM 250MG806447MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SNAPROXEN 500MGNAPFLAM 500MG808474MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SDICLOFENAC 25MGPANAMOR 25MG752371MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SDICLOFENAC 50MGPANAMOR 50MG752398MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08NSAID'SDICLOFENAC SR 100MG PANAMOR SR827592MOTIVATION AND RELEVANT LAB RESULTS REQUIRED IF PRESCRIBED INDEPENDENTLY OF OTHER ANTI-RHEUMATIC AGENTS
RHEUMATOID ARTHRITISM05, M06, M08SPECIFIC COX2 INHIBITORS - COXIBCELCOXIB 100MGCOXLEON 100MG CAPS723329MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY
RHEUMATOID ARTHRITISM05, M06, M08SPECIFIC COX2 INHIBITORS - COXIBCELCOXIB 200MGCOXLEON 200MG CAPS723330MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY
RHEUMATOID ARTHRITISM05, M06, M08SPECIFIC COX2 INHIBITORS - COXIBETORICOXIB 60MGSPEC ETORICOXIB 60MG723128MOTIVATION INDICATING THE RISK FACTORS CONSIDERED FOR THEIR USE OF CONVENTIONAL ANTI-INFLAMMATORY THERAPY
RHEUMATOID ARTHRITISM05, M06, M08TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 10MGTREPILINE 10MG772003TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 25MGTREPILINE 25MG771996GULF AMITRIPRYLINE718746TREATMENT TO BE INITIATED BY SPECIALIST
RHEUMATOID ARTHRITISM05, M06, M08VITAMINSFOLIC ACID 5MGBE-TABS FOLIC 5MG810967TREATMENT TO BE INITIATED BY SPECIALIST
SCHIZOPHRENIAF20
SCHIZOPHRENIAF20ANTI-EPILEPTICCARBAMAZEPINE 200MGDEGRANOL 200MG712493THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICCARBAMAZEPINE 200MG CRSANDOZ CARBAMAZEPINE CR 200MG705597THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICCARBAMAZEPINE 400MG CRSANDOZ CARBAMAZEPINE CR 400MG705602THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICLAMOTRIGINE 25MGEPITEC 25MG TABS704379THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICLAMOTRIGINE 50MGLAMIDUS 50MG 710885EPITEC 50MG TABS704380THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICLAMOTRIGINE 100MGLAMIDUS 100MG710887EPITEC 100MG TABS704381THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-EPILEPTICLAMOTRIGINE 200MGLAMIDUS 200MG710888EPITEC 200MG TABS704382THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20PHENOTHIAZINESCHLORPROMAZINE 100MGLARGACTIL 100MG 735884THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20PHENOTHIAZINESCHLORPROMAZINE 25MGLARGACTIL 25MG 735868THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20PHENOTHIAZINESCHLORPROMAZINE 50MGLARGACTIL 50MG 735876THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20SSRIFLUOXETINE 20MGDEPROZAN 20MG894303THERAPY MUST BE INITIATED BY A PSYCHIATRIST. 1ST LINE THERAPY
SCHIZOPHRENIAF20SSRICITALOPRAM 20MGCILATE 20MG 707888TALOMIL 20MG702769THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY
SCHIZOPHRENIAF20SSRIPAROXETINE 20MGSERRAPRESS 20MG705122XET 20MG705633THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY
SCHIZOPHRENIAF20SSRIESCITALOPRAM 10MGMYLAN ESCITALOPRAM 10MG714012ZYTOMIL 10MG 719547THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY
SCHIZOPHRENIAF20SSRIESCITALOPRAM 20MGMYLAN ESCITALOPRAM 20MG714013ZYTOMIL 20MG 719548THERAPY MUST BE INITIATED BY A PSYCHIATRIST - 2ND LINE THERAPY
SCHIZOPHRENIAF20SSRISERTRALINE 50MGDYNA-SERTRALINE 50MG719972SERLIFE 50MG703132
SCHIZOPHRENIAF20SSRISERTRALINE 100MGDYNA-SERTRALINE 100MG 719973SERLIFE 100MG703999
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSDOTHIEPIN 25MGTHADEN 25MG800198THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSDOTHIEPIN 75MGTHADEN 75MG800201THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 10MGTREPILINE 10MG772003THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSAMITRIPTYLINE 25MGTREPILINE 25MG771996GULF AMITRIPRYLINE718746THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSIMIPRAMINE HCI 10MGETHIPRAMINE 10MG724661THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20TRICYCLIC ANTIDEPRESSANTSIMIPRAMINE HCI 25MGETHIPRAMINE 25MG724688THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20MAOIMOCLOBEMIDE 150MGDEPNIL897213THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20MAOIMOCLOBEMIDE 300MGDEPNIL702008THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20THIOXANTHINESZUCLOPENTHIXOL DECANOATE 200MG/ML CLOPIXOL DEPOT 200MG/ML714852DEPOT PREPARATIONS ONLY - 2ND LINE
SCHIZOPHRENIAF20THIOXANTHINESFLUPENTHIXOL DECANOATE 20MGFLUANXOL DEPOT 1ML 20MG726672DEPOT PREPARATIONS ONLY - 2ND LINE
SCHIZOPHRENIAF20THIOXANTHINESFLUPENTHIXOL DECANOATE 40MGFLUANXOL DEPOT 2ML 40MG726680DEPOT PREPARATIONS ONLY - 2ND LINE
SCHIZOPHRENIAF20THIOXANTHINESFLUPENTHIXOL HCL 0.5MGFLUANXOL 0.5MG726656THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20THIOXANTHINESFLUPENTHIXOL HCL 1MGFLUANXOL 1MG726664THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20BUTYREPHENONESHALOPERIDOL 0.5MGSERENACE 0.5MG763411THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20BUTYREPHENONESHALOPERIDOL 1.5MGSANDOZ HALOPERIDOL 1.5MG 730335THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20BUTYREPHENONESHALOPERIDOL 5MGSANDOZ HALOPERIDOL 5MG 730327THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICCLOZAPINE 100MGASPEN CLOZAPINE717082MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICCLOZAPINE 25MGASPEN CLOZAPINE 717081MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICRISPERIDONE 1MGZOXADON 1MG711512RISNIA 1MG717997MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICRISPERIDONE 2MGZOXADON 2MG711513RISNIA 2MG717998MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICOLANZAPINE 2.5MGOLAWIN 2.5MG721385OLEXAR 2.5MG715657MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICOLANZAPINE 5MGOLAWIN 5MG721388OLAWIN 5MG 721388MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ATYPICAL ANTIPSYCHOTICOLANZAPINE 10MGOLAWIN 10MG721389OLEXAR 10MG715659MOTIVATION REQUIRED. THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20BENZAMIDESSULPIRIDE 50MGESPIRIDE819654THERAPY MUST BE INITIATED BY A PSYCHIATRIST
SCHIZOPHRENIAF20ANTI-CHOLINERGICORPHENADRINE 50MGDISIPAL 50MG720542
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93ANTI-PROTOZOAL AGENTSCHLOROQUINE PHOSPHATEPLASMOQUINE 200MG794333TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93ANTICOAGULANTWARFARIN 5MG CIPLA-WARFARIN712390TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93ANALGESICSPARACETAMOL 500MGNAPAMOL 500MG TAB745723TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93CYTOSTATICCYCLOPHOSPHOMIDE 50MGENDOXAN 50MG723274TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93CYTOSTATICMETHOTREXATE 2.5METHOTREXATE 2.5MG742465TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93IMMUNOSUPPRESSANTSAZATHIOPRINE 50MGAZAMUN701252TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93CORTICOSTEROIDSPREDNISOLONE 5MGLENISOLONE 5MG800155TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93CORTICOSTEROIDSPREDNISONE 5MG BE-TABS PREDNISONE 788783TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SINDOMETHACIN 100MGARTHREXIN 100MG SUPP.704741TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SINDOMETHACIN 25MGBETACIN 25MG787833ARTHREXIN 25MG704725TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SASPIRIN 300MGBE-TABS ASPIRIN 300MG798533TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SIBUPROFEN 200MGRANFEN 200MG824852TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SIBUPROFEN 400MGRANFEN 400MG701654TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SIBUPROFEN 600MGSANDOZ IBUPROFEN 600 MG782807TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93SELECTIVE COX II INHIBITORSMELOXICAM 15MGFLEXOCAM 15MG704828ARROW MELOXICAM 15MG711325TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93SELECTIVE COX II INHIBITORSMELOXICAM 7.5MGFLEXOCAM 7.5MG704829ARROW MELOXICAM 7.5MG711324TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SNAPROXEN 250MGNAPFLAM 250MG806447 TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SNAPROXEN 500MGNAPFLAM 500MG808474TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SDICLOFENAC SOD. 25MG TABPANAMOR 25MG752371TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SDICLOFENAC SOD. 50MG TABPANAMOR 50MG752398TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93NSAID'SDICLOFENAC SOD. 100MGPANAMOR SR827592TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93TOPICAL CORTICOSTEROIDSBETAMETHASONE CREAMTOPIVATE 0.1% CREAM833037TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93TOPICAL CORTICOSTEROIDSBETAMETHASONE LENOVATELENOVATE 0.1% OINTMENT800171TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93VITAMINSFOLIC ACID 5MGBE-TABS FOLIC ACID 5MG810967TREATMENT TO BE INITIATED BY SPECIALIST
SYSTEMIC LUPUS ERYTHEMATOSUSM32, L93POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753FOR LONG TERM ORAL CORTICOSTERIOD USE
ULCERATIVE COLITISK51
ULCERATIVE COLITISK515 AMINOSALYCILIC ACID DERIVATIVEMESALAZINE ENEMAASACOL 2G/50ML ENEMA824127 TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK515 AMINOSALYCILIC ACID DERIVATIVEMESALAZINE 400MGASACOL 400MG 783668TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK515 AMINOSALYCILIC ACID DERIVATIVEMESALAZINE SUPPASACOL 500MG SUPP824135TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK515 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN 500MG 762008TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK515 AMINOSALYCILIC ACID DERIVATIVESULPHASALAZINE 500MGSALAZOPYRIN EN 762016TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51AMINOSALICYLATESOLSALAZINE 250MGDIPENTUM 250MG792519TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51AMINOSALICYLATESMESALAZINE 500MG TABPENTASA 500MG890775TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51ANTIBIOTICSMETRONIDAZOLE 200MGADCO-METRONIDAZOLE 200MG742872TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51ANTIBIOTICSMETRONIDAZOLE 400MGADCO-METRONIDAZOLE 400MG701076TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51ANTIBIOTICSCIPROFLOXACIN 250MG CIPROL 250MG704777TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51ANTIBIOTICSCIPROFLOXACIN 500MGCIPROL 500MG704775TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51ANTIBIOTICSCIPROFLOXACIN 750MGCIFLOC 750MG893963TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51CORTICOSTEROIDSBUDESONIDE ENEMAENTOCORD 2.3MG ENEMA824593TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51CORTICOSTEROIDSBUDESONIDE 3MGENTOCORD 3MG TAB838896TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51CORTICOSTEROIDSPREDNISOLONE 5MGLENISOLONE 5MG800155TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51CORTICOSTEROIDSPREDNISONE 5MGBE-TABS PREDNISONE 788783TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51IMMUNOSUPPRESSIVEAZATHIOPRINE 50MGAZAMUN 50MG701252TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51CYTOSTATICMETHOTREXATE 2.5METHOTREXATE 2.5MG742465 TREATMENT TO BE INITIATED BY SPECIALIST - MOTIVATION REQUIRED
ULCERATIVE COLITISK51VITAMINSFOLIC ACID 5MGBE-TABS FOLIC ACID 5MG810967TREATMENT TO BE INITIATED BY SPECIALIST
ULCERATIVE COLITISK51POTASSIUM SUPPLEMENTSPOTASSIUM CHLORIDE 600MGPLENISH K 600MG755753FOR LONG TERM ORAL CORTICOSTERIOD USE

DISCLAIMER
Please note this formulary is reviewed on a regular basis by the PHA clinical committee to ensure adherence to the most current and approved clinical guidelines for the treatment of the listed conditions. PHA and the clinical committee reserve the right to amend the medicine list via addition, removal or replacement of listed medicines on the formulary if and at such times, updated clinical information becomes available regards treatment of a condition, safety and efficacy of listed products and/ or improved therapeutic outcomes are made available. This formulary is intended to be used as a guide to approved treatment of the condition but in no way or manner is intended to substitute the professional knowledge of the individual prescribing or dispensing the said medication. PHA shall not under any circumstances be liable for any side-effects or other consequential or incidental harm of any kind or description whatsoever arising from the use of, or failure to use, any medicine on the strength of information contained in a this formulary.

COPYRIGHT
PHA reserves its copyright and all its other intellectual-property rights in respect of the PHA formulary. The formulary or parts thereof, may not be copied, reproduced or stored in any medium, nor shared with other parties in any format, without the express permission of PHA.